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FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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OMB APPROVAL
OMB Number: 3235-0287 Expires: January 31, 2008 Estimated average burden hours per response... 0.5 |
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Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person
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LAU JOHNSON YIU NAM |
2. Issuer Name
and
Ticker or Trading Symbol
Chelsea Therapeutics International, Ltd. [ CHTP.OB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__ X __ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
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13590 BALLANTYNE CORPORATE PLACE, UNIT 325 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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CHARLOTTE, NC 28277 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of Security
(Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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 | ||||||
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Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. 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 |
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 of Derivative Security: 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 | ||||||||
| Stock Option (Right to Buy) | $3.26 | 1/19/2006 | M | 30000 | (1) | 1/19/2016 | Common Stock | 30000 | $0.00 | 30000 | D | ||||
| Stock Option (Right to Buy) | $0.20 | (2) | 9/8/2014 | Common Stock | 35210 | 35210 | D | ||||||||
| Explanation of Responses: | |
| ( 1) | Option vests in four equal annual installments beginning on January 19, 2007. |
| ( 2) | Option vests in two equal annual installments beginning on September 8, 2005. |
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Remarks:
On July 28, 2005, Chelsea Therapeutics International, Ltd., a Delaware corporation, became the successor of Ivory Capital Corporation, a Colorado corporation, pursuant to a merger. The merger had the effect of changing Ivory Capital Corporation's state of incorporation to Delaware, changing its name to Chelsea Therapeutics International, Ltd. and converting every nine Ivory Capital Corporation shares into one Chelsea Therapeutics International, Ltd. share. However, the merger did not alter the proportionate interests of Ivory Capital Corporation's security holders. |
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Reporting Owners
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| Reporting Owner Name / Address |
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| Director | 10% Owner | Officer | Other | ||
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LAU JOHNSON YIU NAM
13590 BALLANTYNE CORPORATE PLACE UNIT 325 CHARLOTTE, NC 28277 |
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Signatures
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| /s/ Donald R. Reynolds, Attorney-in-Fact | 1/23/2006 | |
| ** Signature of Reporting Person |
Date
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| 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). |
| Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | |