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(1)
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Title of each class of securities to which transaction applies:
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(2)
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Aggregate number of securities to which transaction applies:
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(3)
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Per unit price or other underlying value of transaction computed pursuant to Exchange Act Rule 0-11 (set forth the amount on which the filing fee is calculated and state how it was determined):
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(4)
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Proposed maximum aggregate value of transaction:
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(5)
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Total fee paid:
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Check box if any part of the fee is offset as provided by Exchange Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee was paid previously. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing.
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(1)
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Amount Previously Paid:
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(2)
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Form, Schedule or Registration Statement No.:
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(3)
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Filing Party:
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(4)
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Date Filed:
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1.
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the election of the seven director nominees described in the Proxy Statement to serve as directors until the sooner of the 2015 Annual Meeting of Stockholders or the election and qualification of their successors;
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2.
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the approval of an amendment to our certificate of incorporation to change the name of our company to Tenax Therapeutics, Inc.; and
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3.
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the ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm for the fiscal year ending April 30, 2015.
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Proxy Vote by Mail or by Fax.
Return the enclosed proxy form by mail using the enclosed prepaid envelope or by fax to (202)-521-3464. Be sure to complete, sign and date the form before mailing or faxing. If you are a stockholder of record and you return your signed proxy form but do not indicate your voting preferences, the persons named in the proxy form will vote
FOR
the election of each director nominated by the Board of Directors,
FOR
the amendment to our certificate of incorporation to change the name of our company to Tenax Therapeutics, Inc. and
FOR
the ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm, and at the discretion of the persons named in the proxy on any other matter that comes before the meeting for a vote.
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Proxy Vote by Internet.
You may use the Internet to transmit your voting instructions up until 11:59 p.m. Eastern Daylight Time on September 10, 2014 by going to the website http://www.iproxydirect.com/OXBT.
Please have your proxy card in hand when you access the website and follow the instructions to obtain your records and to create an electronic voting instruction form.
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Proxy Vote by Phone.
You may use any touch-tone telephone to transmit your voting instructions up until 11:59 p.m. Eastern Daylight Time on September 10, 2014 by calling the toll-free number 1-866-752-VOTE (8683). Have your proxy card in hand when you call and then follow the instructions.
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In Person at the Annual Meeting.
All stockholders may vote in person at the Annual Meeting. You may also be represented by another person at the meeting by executing a proper proxy designating that person.
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sending written notice of revocation to our Corporate Secretary;
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submitting a new, proper proxy by mail (not by Internet or phone) after the date of the revoked proxy; or
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attending the Annual Meeting and voting in person.
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Name
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Age
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Position with Oxygen Biotherapeutics, Inc.
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Director Since
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Ronald R. Blanck, DO
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73
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Chairman
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December 2009
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William A. Chatfield
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63
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Director
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October 2009
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Anthony DiTonno
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66
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Director
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December 2011
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John P. Kelley
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61
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Chief Executive Officer and Director
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December 2013
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Gregory Pepin
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31
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Director
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August 2009
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Gerald T. Proehl
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55
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Director
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April 2014
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Chris A. Rallis
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60
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Director
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December 2011
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●
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reviewing, evaluating, and discussing our financial statements and other financial information prepared on our behalf;
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selecting, retaining, and monitoring the independence and performance of our outside auditors, including overseeing the audits of our financial statements and approving any non-audit services;
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assisting the Board in fulfilling its oversight responsibilities, primarily through overseeing management’s conduct of our accounting and financial reporting process and systems of internal accounting and financial controls;
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providing an avenue of communication among the outside auditors, management and the Board; and
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preparing an annual report of the Audit Committee for inclusion in our proxy statement.
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determining and approving the Chief Executive Officer’s compensation;
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reviewing and making recommendations to the Board with respect to compensation of all other key senior executives and elected corporate officers at appropriate time periods;
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reviewing, and if appropriate, approving employment agreements, severance agreements, retirement arrangements, change in control agreements and provisions, and any special or supplemental benefits for each of our executive officers;
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working with the Chief Executive Officer to plan for Chief Executive Officer succession;
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exercising the powers and authorities vested in the administrator or similar delegate of the Board provided by the stock option, restricted stock, incentive, and other of our compensation plans; and
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preparing an annual report on executive compensation for inclusion in our proxy statement.
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identifying and evaluating director candidates and recommending to the Board proposed nominees for Board membership;
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recommending to the Board proposed directors to serve on each Board committee;
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leading the Board in its annual review of the Board’s performance;
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developing and recommending to the Board a set of Corporate Governance Guidelines;
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considering issues involving possible conflicts of interest of directors; and
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recommending and reviewing all matters pertaining to fees and retainers paid to directors for Board and committee service and for serving as chair of a Board committee.
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Ronald R. Blanck
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Gerald T. Proehl
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Chris A. Rallis
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Name
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Age
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Position
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John P. Kelley
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61
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Chief Executive Officer
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Michael B. Jebsen, CPA
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43
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President and Chief Financial Officer
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Summary Compensation Table
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Name and Principal Position
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Year
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Salary
($)
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Non-Equity Incentive Plan
(2)
($)
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Bonus
($)
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Stock Awards
(1)
($)
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Option Awards
(1)
($)
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All Other Compensation
(3)
($)
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Total
($)
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John P. Kelley
Chief
Executive
Officer
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2014
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151,250 | 82,500 | — | — | 3,954,628 | — | 4,188,378 | ||||||||||||||||||||||
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Michael B. Jebsen, CPA
(4)
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2014
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309,375 | 176,150 | 225,000 | 332,150 | 3,954,628 | 9,600 | 5,007,003 | ||||||||||||||||||||||
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President, Chief Financial Officer and Former Interim Chief Executive Officer
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2013
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330,000 | — | — | 60,308 | (5) | — | 9,600 | 399,908 | |||||||||||||||||||||
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(1)
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The amounts in these columns reflect the aggregate grant date fair value of awards granted during the year computed in accordance with Financial Accounting Standards Board ASC Topic 718, Compensation — Stock Compensation. The assumptions made in determining the fair values of our stock and option awards are set forth in Note G to our Financial Statements included in the our Form 10-K for the year ended April 30, 2014, filed with the SEC on July 29, 2014.
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(2)
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These payments were made based on achievement of milestones in accordance with Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”
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(3)
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The amounts in this column represent payments for automobile allowances issued in accordance with the terms of Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”
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(4)
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Mr. Jebsen began serving as our Interim Chief Executive Officer, effective August 24, 2011. In connection with such service, Mr. Jebsen receives additional compensation of $10,000 per month.
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(5)
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Represents the grant date fair value of the shares issued in accordance with the terms of Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”
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Name and Principal Position
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Grant Date
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Number of Securities Underlying Options
(1)
(#)
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Exercise Price of Options
($)
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Number of Securities Underlying Restricted Stock Grant
(#)
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Grant Date Fair Value of Option and Restricted Stock Awards
(2)
($)
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John P. Kelley
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4/3/2014
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893,220 | 5.65 | — | 3,954,628 | |||||||||||||
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Chief Executive Officer
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Michael B. Jebsen, CPA
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4/3/2014
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893,220 | 5.65 | — | 3,954,628 | |||||||||||||
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President, Chief Financial Officer and
Former Interim Chief Executive Officer
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5/1/2013
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— | — | 430 | (3) | 2,150 | ||||||||||||
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10/4/2013
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79,546 | (4) | 105,000 | |||||||||||||||
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11/13/2013
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32,143 | (5) | 225,000 | |||||||||||||||
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(1)
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Each option listed in the table immediately vests and is exercisable over a ten-year period.
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(2)
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The amounts in this column reflects the aggregate grant date fair value of awards granted during the year computed in accordance with Financial Accounting Standards Board ASC Topic 718, Compensation — Stock Compensation. The assumptions made in determining the fair values of our option awards are set forth in Note G to our Financial Statements included in the our Form 10-K for the year ended April 30, 2014, filed with the SEC on July 29, 2014.
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(3)
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The shares underlying these grants vest monthly over a 12 month period.
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(4)
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The shares underlying these grants vest immediately.
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(5)
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The one half of shares underlying these grants vest immediately and one half vest the six months subsequent to the grant date.
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Option Awards
(1)
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Stock Awards
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Name and Principal Position
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Number of securities underlying unexercised options (Exercisable)
(#)
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Number of securities underlying unexercised options (Unexercisable)
(#)
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Option exercise price
($/Sh)
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Option expiration date
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Number of shares or units of stock that have not vested
(#)
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Market value of shares or units of stock that have not vested
($)
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John P. Kelley
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446,110 | (3) | 446,110 | (3) | 5.65 |
4/2/2024
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— | — | |||||||||||||
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Chief Executive Officer
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|||||||||||||||||||||
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Michael B. Jebsen, CPA
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34 | (2) | 123.00 |
7/20/2019
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— | — | |||||||||||||||
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President, Chief Financial Officer and Former Interim Chief Executive Officer
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167 | 117.00 |
8/12/2019
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| 34 | 127.60 |
9/1/2019
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| 34 | 117.00 |
10/1/2019
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| 34 | 129.00 |
11/1/2019
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| 34 | 111.60 |
12/1/2019
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| 34 | 115.80 |
1/1/2020
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| 34 | 114.60 |
2/1/2020
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| 34 | 102.00 |
3/1/2020
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| 34 | 100.00 |
4/1/2020
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| 34 | 100.00 |
5/1/2020
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| 34 | 59.40 |
6/1/2020
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| 34 | 57.80 |
7/1/2020
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| 34 | 54.80 |
8/1/2020
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| 167 | 55.80 |
8/13/2020
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| 34 | 60.80 |
9/1/2020
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| 34 | 50.60 |
10/1/2020
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| 34 | 42.20 |
11/1/2020
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| 34 | 43.00 |
12/1/2020
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| 625 | 43.00 |
12/1/2020
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| 34 | 38.40 |
1/1/2021
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| 34 | 41.00 |
2/1/2021
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| 34 | 38.60 |
3/1/2021
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| 34 | 36.80 |
4/1/2021
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| 446,610 | (3) | 446,610 | (3) | 5.65 |
4/2/2024
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(1)
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Except as otherwise noted, the option awards reflected in these columns vested immediately on the date of grant. The date of grant for each of these options is the date 10 years prior to the expiration date reflected in this table.
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(2)
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These options were granted with the following vesting schedule: 100% on the first anniversary of the grant date.
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(3)
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These options were granted with the following vesting schedule: 25% on the (i) Initiation of the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $50,000,000; 25% on the (i) Database Lock with respect to the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $100,000,000; 25% on the Acceptance For Review of an NDA for the Product for LCOS; 25% on the Approval of the Product for LCOS.
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(a)
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(b)
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(c)
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||||||||||
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Number of securities to be issued upon exercise of outstanding options, warrants and rights
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Weighted-average exercise price of outstanding options, warrants and rights
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Number of securities remaining available for future issuances under equity compensation plans (excluding securities reflected in column (a))
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Plan category
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||||||||||||
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Equity compensation plans approved by security holders
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3,690,336 | $ | 5.80 | 155,437 | ||||||||
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Equity compensation plans not approved by security holders
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— | — | — | |||||||||
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Total
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3,690,336 | $ | 5.80 | 155,437 | ||||||||
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2014 Director Compensation
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||||||||||||||||||||
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Director
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Fees Earned or Paid in Cash
($)
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Option Awards
($)
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Stock Awards
($)
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All Other Compensation
($)
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Total
($)
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|||||||||||||||
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Ronald R. Blanck, DO
(1)
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34,750 | 37,000 | — | — | 71,750 | |||||||||||||||
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William A. Chatfield
(1)
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33,000 | 34,000 | — | — | 67,000 | |||||||||||||||
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Anthony DiTonno
(1)
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34,000 | 34,250 | — | — | 68,250 | |||||||||||||||
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Gregory Pepin
(1)
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64,000 | — | — | — | 64,000 | |||||||||||||||
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Gerald T. Proehl
(1)
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1,875 | 116,152 | — | — | 118,027 | |||||||||||||||
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Chris A. Rallis
(1)
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33,500 | 34,500 | — | — | 68,000 | |||||||||||||||
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(1)
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As of April 30, 2014, our other non-employee directors held the following aggregate stock options: Dr. Blanck, 10,507; Mr. Chatfield, 9,656; Mr. DiTonno, 11,488; Mr. Proehl, 25,000; Mr. Rallis, 9,798. In addition, as of April 30, 2014, held the following restricted stock units: Dr. Blanck, 123; Mr. Chatfield, 113.
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·
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An annual director fee in each fiscal year of $45,000 ($65,000 for our lead independent director), which was paid in equal monthly installments in arrears on the last day of each month;
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·
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A fee for attending each meeting of the Board in the amount of $4,000;
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·
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A fee for attending each committee meeting of which the Director is a member in the amount of $500; and
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·
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Reimbursement of travel and related expenses for attending Board and Committee meetings, as incurred.
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Beneficial Owner
Name and Address
(1
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Amount and Nature of Beneficial Ownership
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Percent of Class
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Principal Stockholders
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JP SPC3 OXBT FUND
(2)
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5,444,335 | 17.95 | % | |||||
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Rue Du Mont-Blanc
Geneva, Switzerland 1201
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Great Point Partners, LLC
(3)
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2,000,000 | 7.12 | % | |||||
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165 Mason Street, 3rd Floor
Greenwich, CT 06830
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Sabby Healthcare Volatility Master Fund, Ltd.
(4)
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1,964,224 | 6.99 | % | |||||
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c/o Ogier Fiduciary Services (Cayman) Limited
89 Nexus Way, Camana Bay
Grand Cayman KY1-9007
Cayman Islands
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Doug Randall
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1,613,121 | 5.65 | % | |||||
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Douglas Hay
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1,613,121 | 5.65 | % | |||||
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Broadfin Capital, LLC
(5)
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1,518,631 | 5.41 | % | |||||
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237 Park Avenue, Suite 900
New York, New York 10017
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HealthCor Management, L.P.
(6)
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1,500,000 | 5.34 | % | |||||
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Carnegie Hall Tower
152 West 57th Street, 43rd Floor
New York, New York 10019
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Officers and Directors
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Gregory Pepin
(7)
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5,648,251 | 20.11 | % | |||||
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John P. Kelley
(8)
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1,613,121 | 5.65 | % | |||||
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Michael B. Jebsen, CPA
(8)
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515,772 | 1.81 | % | |||||
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Ronald R. Blanck, DO
(8)
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26,535 | * | ||||||
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Anthony DiTonno
(8)
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17,252 | * | ||||||
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Chris A. Rallis
(8)
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16,853 | * | ||||||
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William A. Chatfield
(8)
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11,427 | * | ||||||
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Gerald T. Proehl
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- | * | ||||||
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All officers and directors as a group (8 persons)
(8)
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7,849,211 | 27.04 | % | |||||
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(1)
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Unless otherwise noted, all addresses are in care of the Company at ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560.
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(2)
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Includes 3,192,593 shares of common stock, and 2,251,742 shares of common stock subject to warrants that are exercisable or convertible, as applicable within 60 days of July 31, 2014.
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(3)
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The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on March 28, 2014 by Great Point Partners, LLC, Dr. Jeffrey R. Jay, M.D. and Mr. David Kroin, each of whom is deemed to have shared voting power and shared dispositive power with respect to 2,000,000 shares of common stock.
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(4)
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The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on March 18, 2014 by Sabby Healthcare Volatility Master Fund, Ltd., Sabby Management, LLC and Hal Mintz, each of whom is deemed to have shared voting power and shared dispositive power with respect to 1,964,224 shares of common stock.
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(5)
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The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on June 11, 2014 by Broadfin Capital, LLC, Broadfin Healthcare Master Fund, Ltd. and Kevin Kotler, each of whom is deemed to have shared voting power and shared dispositive power with respect to 1,518,631shares of common stock.
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(6)
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The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on March 28, 2014 by HealthCor Management, L.P. (“HealthCor”), HealthCor Associates, LLC, HealthCor Offshore Master Fund, L.P., HealthCor Offshore GP, LLC, HealthCor Group, LLC, Joseph Healey, Arthur Cohen, HealthCor Long Offshore Master Fund, L.P. and HealthCor Long Master GP, LLC. According to the Schedule 13G, HealthCor Offshore Master Fund, L.P., is deemed to have shared voting power and shared dispositive power with respect to 1,389,462 shares of common stock and HealthCor Long Offshore Master Fund, L.P., is deemed to have shared voting power and shared dispositive power with respect to 110,538 shares of common stock. HealthCor may be deemed beneficial owner of 1,500,000 shares of common stock as a result of its serving as investment manager of HealthCor Offshore Master Fund, L.P. and HealthCor Long Offshore Master Fund, L.P. HealthCor Associates, LLC may be deemed beneficial owner of 1,500,000 shares of common stock as a result of its serving as general partner of HealthCor. Each of Joseph Healey and Arthur Cohen may be deemed beneficial owner of 1,500,000 shares of common stock as a result of their services as managers of HealthCor Associates, LLC. HealthCor Long Master GP, LLC may be deemed beneficial owner of 110,538 shares of common stock as a result of its serving as general partner of HealthCor Long Offshore Master Fund, L.P. HealthCor Offshore GP, LLC may be deemed beneficial owner of 1,389,462 shares of common stock as a result of its serving as general partner of HealthCor Offshore Master Fund, L.P. HealthCor Group, LLC may be deemed beneficial owner of 1,500,000 shares of common stock as a result of its serving as general partner of HealthCor Offshore GP, LLC and HealthCor Long Master GP, LLC.
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(7)
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Includes 189,082 shares of common stock held by Vatea Fund and the shares of common stock held by OXBT Fund. Also includes 14,834 shares of restricted common stock. Mr. Pepin is a Managing Director for Vatea Fund, and consequently he may be deemed to be the beneficial owner of shares held by Vatea Fund. Mr. Pepin is also a co-founder of EOS, an investment company, which serves as the Investment Manager and Managing Director for OXBT Fund, and consequently he may be deemed to be the beneficial owner of shares held by OXBT Fund. Mr. Pepin disclaims beneficial ownership of the shares held by Vatea Fund and OXBT Fund except to the extent of his pecuniary interest therein.
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(8)
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With respect to Dr. Blanck, includes 5,129 shares of common stock subject to warrants and 10,507 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of July 31, 2014;
With respect to Mr. Chatfield, includes 9,656 shares of common stock subject to options vested, vesting, or exercisable, as applicable, within 60 days of July 31, 2014;
With respect to Mr. DiTonno, includes 2,565 shares of common stock subject to warrants and 11,488 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of July 31, 2014;
With respect to Mr. Rallis, includes 2,565 shares of common stock subject to warrants and 9,798 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of July 31, 2014;
With respect to Mr. Jebsen, includes 448,283 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of July 31, 2014;
With respect to Mr. Kelley, includes 446,610 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of July 31, 2014;
With respect to all officers and directors as a group, includes 936,342 shares of common stock subject to options and 10,259 shares of common stock subject to warrants that are vested, vesting, convertible, or exercisable, as applicable, within 60 days of July 31, 2014.
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|
2014
|
2013
|
|||||||
|
Audit fees
|
$ | 180,450 | $ | 124,000 | ||||
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Tax fees
(1)
|
7,400 | 17,400 | ||||||
|
Total fees
|
$ | 187,850 | $ | 141,400 | ||||
|
(1)
|
Tax return and related services
|
|
OXYGEN BIOTHERAPEUTICS, INC.
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|||
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By:
|
/s/ | |
| Name: | [______] | ||
| Title: | [______] | ||
|
OXYGEN BIOTHERAPEUTICS, INC.
THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
ANNUAL MEETING OF STOCKHOLDERS – SEPTEMBER 11, 2014 AT 9 AM LOCAL TIME
|
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|||||||||||
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CONTROL ID:
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||||||||||||
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REQUEST ID:
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||||||||||||
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The undersigned stockholder of
Oxygen Biotherapeutics, Inc.
, a Delaware corporation (the “Company”), acknowledges receipt of the Notice of Annual Meeting of Stockholders and Proxy Statement, dated August 12, 2014, and hereby constitutes and appoints each of John Kelley and Michael Jebsen the proxy of the undersigned to vote with the same force and effect as the undersigned all shares of the Company’s Common Stock which the undersigned is entitled to vote at the Annual Meeting of Stockholders to be held on September 11, 2014, and at any adjournment or adjournments thereof, hereby revoking any proxy or proxies heretofore given and ratifying and confirming all that said proxies may do or cause to be done by virtue thereof with respect to the following matters:
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(CONTINUED AND TO BE SIGNED ON REVERSE SIDE.)
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||||||||||||
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VOTING INSTRUCTIONS
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||||||||||||
|
If you vote by phone, fax or internet, please DO NOT mail your proxy card.
|
||||||||||||
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MAIL:
|
Please mark, sign, date, and return this Proxy Card promptly using the enclosed envelope.
|
||||||||||
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FAX:
|
Complete the reverse portion of this Proxy Card and Fax to
202-521-3464.
|
||||||||||
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INTERNET:
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https://www.iproxydirect.com/
OXBT
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PHONE:
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1-866-752-VOTE(8683)
|
||||||||||
|
ANNUAL MEETING OF THE STOCKHOLDERS OF
OXYGEN BIOTHERAPEUTICS, INC.
|
PLEASE COMPLETE, DATE, SIGN AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE.
PLEASE MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE:
ý
|
|||||||||
|
PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
|
||||||||||
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Proposal 1
|
à
|
FOR
ALL
|
AGAINST
ALL
|
FOR ALL
EXCEPT
|
||||||
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Election of Directors:
|
¨
|
¨
|
||||||||
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Ronald R. Blanck, DO
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¨
|
|||||||||
|
William A. Chatfield
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¨
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CONTROL ID:
|
||||||||
|
Anthony DiTonno
|
¨
|
REQUEST ID:
|
||||||||
|
John P. Kelley
|
¨
|
|||||||||
|
Gregory Pepin
|
¨
|
|||||||||
|
Gerald T. Proehl
|
¨
|
|||||||||
|
Chris A. Rallis
|
¨
|
|||||||||
|
Proposal 2
|
à
|
FOR
|
AGAINST
|
ABSTAIN
|
||||||
|
The approval of an amendment to our certificate of incorporation to change the name of our company to Tenax Therapeutics, Inc.
|
¨
|
¨
|
¨
|
|||||||
|
Proposal 3
|
à
|
FOR
|
AGAINST
|
ABSTAIN
|
||||||
|
The ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm for the fiscal year ending April 30, 2015.
|
¨
|
¨
|
¨
|
|||||||
|
MARK “X” HERE IF YOU PLAN TO ATTEND THE MEETING:
¨
|
||||||||||
|
In their discretion, the proxies are authorized to vote upon such other business as may properly come before the Annual Meeting, and any adjournment or adjournments thereof.
The Board of Directors recommends that you vote “FOR” the election of the director nominees listed in this proxy statement, “FOR” the amendment to our certificate of incorporation to change the name of our company to Tenax Therapeutics, Inc. and “FOR” ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm.
THIS PROXY, WHEN PROPERLY EXECUTED, WILL BE VOTED IN THE MANNER DIRECTED; IF NO DIRECTION IS MADE, THIS PROXY WILL BE VOTED FOR ALL NOMINEES, AND FOR PROPOSALS 2 AND 3. IN THEIR DIRECTION, THE PROXIES ARE ALSO AUTHORIZED TO VOTE UPON SUCH OTHER MATTERS AS MAY PROPERLY COME BEFORE THE MEETING.
|
MARK HERE FOR ADDRESS CHANGE
¨
New Address (if applicable):
____________________________
____________________________
____________________________
IMPORTANT:
Please sign exactly as your name or names appear on this Proxy. When shares are held jointly, each holder should sign. When signing as executor, administrator, attorney, trustee or guardian, please give full title as such. If the signer is a corporation, please sign full corporate name by duly authorized officer, giving full title as such. If signer is a partnership, please sign in partnership name by authorized person.
Dated: ________________________, 2014
|
|||||||||
|
(Print Name of Stockholder and/or Joint Tenant)
|
||||||||||
|
(Signature of Stockholder)
|
||||||||||
|
(Second Signature if held jointly)
|
||||||||||
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
| FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
|---|
| DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
|---|
No information found
No Customers Found
No Suppliers Found
Price
Yield
| Owner | Position | Direct Shares | Indirect Shares |
|---|