1. Title of Derivative Security (Instr. 4) |
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 |
5. Ownership Form of Derivative Security: 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 |
Series A Preferred Stock
|
Â
(1)
|
Â
(1)
|
Common Stock
|
28,572
|
$
(1)
|
I
|
By the Anthony and Terry Dailley Trust, u/a/d 07/12/1991
|
Series B Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
5,319
|
$
(2)
|
I
|
By the Anthony Dailley DDS Profit Sharing Plan
|
Series B Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
16,000
|
$
(2)
|
I
|
By the Anthony and Terry Dailley Trust, u/a/d 07/12/1991
|
Series C Preferred Stock
|
Â
(3)
|
Â
(3)
|
Common Stock
|
8,823
|
$
(3)
|
I
|
By the Anthony and Terry Dailley Trust, u/a/d 07/12/1991
|
Option (right to buy)
(4)
|
05/01/2004 |
04/30/2014 |
Common Stock
|
34,000
|
$
0.56
|
D
|
Â
|
Option (right to buy)
(5)
|
05/24/2006 |
05/24/2016 |
Common Stock
|
52,000
|
$
1.7
|
D
|
Â
|
* |
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). |
(1) |
The Series A Preferred Stock is immediately convertible into NovaBay Pharmaceuticals, Inc. common stock and has no expiration date. Effective upon the closing of the Issuer's initial public offering of common stock, the Series A Preferred Stock will automatically convert into the number of shares of common stock of NovaBay Pharmaceuticals, Inc. indicated in Column 3. |
(2) |
The Series B Preferred Stock is immediately convertible into NovaBay Pharmaceuticals, Inc. common stock and has no expiration date. Effective upon the closing of the Issuer's initial public offering of common stock, the Series B Preferred Stock will automatically convert into the number of shares of common stock of NovaBay Pharmaceuticals, Inc. indicated in Column 3. |
(3) |
The Series C Preferred Stock is immediately convertible into NovaBay Pharmaceuticals, Inc. common stock and has no expiration date. Effective upon the closing of the Issuer's initial public offering of common stock, the Series C Preferred Stock will automatically convert into the number of shares of common stock of NovaBay Pharmaceuticals, Inc. indicated in Column 3. |
(4) |
Granted pursuant to the Issuer's 2002 Stock Option Plan. |
(5) |
Granted pursuant to the Issuer's 2005 Stock Option Plan. |