SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Smith Robin L

(Last) (First) (Middle)
C/O PHASE III MEDICAL, INC.
420 LEXINGTON AVENUE, SUITE 450

(Street)
NEW YORK NY 10170

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PHASE III MEDICAL INC/DE [ PHSM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/11/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $.001 par value 08/11/2006 C(1) 284,090 A $0.044 4,284,090 D
Common Stock, $.001 par value 08/11/2006 J(1) 56,818 A (1) 4,340,908 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
9% Convertible Promissory Notes due 2006 $0.06(1) 08/11/2006 J(1) 208,333 (2) 09/30/2006 Common Stock 208,333 (1) 208,333 D
9% Convertible Promissory Notes due 2006 $0.044(1) 08/11/2006 J(1) 284,090 (2) 09/30/2006 Common Stock 284,090 (1) 284,090 D
9% Convertible Promissory Notes due 2006 $0.044(1) 08/11/2006 C(1) 284,090 (2) 09/30/2006 Common Stock 284,090 (1) 0 D
Warrants (right to buy) $0.12(1) 08/11/2006 J(1) 208,333 (3) 12/29/2008 Common Stock 208,333 (1) 208,333 D
Warrants (right to buy) $0.08(1) 08/11/2006 J(1) 208,333 (3) 12/29/2008 Common Stock 208,333 (1) 208,333 D
Warrants (right to buy) $0.08 08/11/2006 J(1) 208,333 (3) 12/29/2008 Common Stock 208,333 (1) 208,333 D
Explanation of Responses:
1. On August 11, 2006, Dr. Smith executed an agreement with Phase III Medical Inc. (the "Company") pursuant to which Dr. Smith agreed to convert that certain 9% Convertible Promissory Note issued December 30, 2005. As consideration for entering into such agreement, the Company agreed to: (i) reduce the conversion price of the convertible promissory note from $.06 per share to $.044 per share, (ii) to reduce the exercise price of certain warrants held by Dr. Smith from $0.12 to $0.08 per share, (iii) issue 56,818 shares of the Company's common stock to Dr. Smith, and (iv) grant to Dr. Smith a warrant to purchase 208,333 shares of common stock of the Company at an exercise price of $0.08 per share.
2. The convertible promissory note is convertible immediately.
3. These warrants are exercisable immediately.
/s/ Catherine M. Vaczy, Esq., Attorney-In-Fact 08/15/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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