SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person*
| C/O ONCONOVA THERAPEUTICS, INC. |
| 375 PHEASANT RUN |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
05/09/2014
|
3. Issuer Name and Ticker or Trading Symbol
Onconova Therapeutics, Inc.
[ ONTX ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
|
Chief Accounting Officer
|
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
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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 Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Common Stock |
600 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock Option (right to buy) |
|
10/04/2023 |
Common Stock |
30,000 |
28.81 |
D |
|
| Stock Option (right to buy) |
|
12/20/2023 |
Common Stock |
6,000 |
13.48 |
D |
|
| Stock Option (right to buy) |
|
03/31/2024 |
Common Stock |
24,500 |
6.3 |
D |
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| Explanation of Responses: |
|
|
|
Mark Guerin |
05/16/2014 |
|
** 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
5
(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 Number. |
LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes,
constitutes and appoints Ramesh Kumar, Ph.D. and Ajay Bansal as
the undersigned's true and lawful attorney-in-fact, with full
power
and authority as hereinafter described on behalf of and in the
name,
place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3,
4,
and 5 (as applicable, including any amendments thereto) with
respect
to the securities of Onconova Therapeutics, Inc., a Delaware
corporation (the "Company"), with the United States Securities
and Exchange Commission, any national securities exchanges and
the Company, as considered necessary or advisable under Section
16(a) of the Securities Exchange Act of 1934 and the rules and
regulations promulgated thereunder, as amended from time to
time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and
on the undersigned's behalf, information on transactions in the
Company's securities from any third party, including but not
limited to brokers, employee benefit plan administrators and
trustees, and the undersigned hereby authorizes any such third
party to release any such information to the undersigned and
approves
and ratifies any such release of information to the undersigned;
and
(3) perform any and all other acts which in the discretion
of such attorney-in-fact are necessary or desirable for and on
behalf
of the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Limited Power of Attorney authorizes, but does not
require, such attorney-in-fact to act in his discretion on
information provided to such attorney-in-fact without independent
verification of such information;
(2) any documents prepared and/or executed by such
attorney-in-fact on behalf of the undersigned pursuant to this
Limited Power of Attorney will be in such form and will contain
such information and disclosure as such attorney-in-fact,
in his discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i)
any
liability for the undersigned's responsibility to comply with
the
requirements of the Exchange Act, (ii) any liability of the
undersigned for any failure to comply with such requirements, or
(iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Limited Power of Attorney does not relieve the
undersigned
from responsibility for compliance with the undersigned's
obligations
under the Exchange Act, including without limitation the
reporting
requirements under Section 16 of the Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-
in-fact
full power and authority to do and perform all and every act and
thing
whatsoever requisite, necessary or appropriate to be done in and
about
the foregoing matters as fully to all intents and purposes as the
undersigned might or could do if present, hereby ratifying all
that
such attorney-in-fact of, for and on behalf of the undersigned,
shall
lawfully do or cause to be done by virtue of this Limited Power
of
Attorney.
This Limited Power of Attorney shall remain in full force and
effect
until revoked by the undersigned in a signed writing delivered to
such
attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Limited
Power
of Attorney to be executed as of this 8th day of May, 2013.
/s/ Mark Guerin
______________________________
Name: Mark Guerin
