Notice of Grant of Stock Option
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Notice of Grant of Stock Option document sample
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FORM 11
NOTICE OF PROPOSED STOCK OPTION GRANT OR AMENDMENT -
AMENDED
Name of CNQ Issuer: Biosign Technologies Inc. (the “Issuer”).
Trading Symbol: BIOS
Date: November 29, 2006
This CNQ Form 11 is being re-filed to include options which were granted to an
employee but were not included in the original filing dated November 27, 2006.
Yours very truly,
Kevin Gilbride
Chief Financial Officer and Corporate Secretary
1. New Options Granted:
Date of Grant: November 27, 2006
Position (Director/
Officer/
Employee/ Consultant/ No. of Options
Management Company Granted in Past
Insider No. of 12 Months
Yes or Optioned Exercise Expiry Date (including
No? Shares Price current grant)
4 Consultants No 255,000 $1.00 November 335,000
27, 2009
1 Employee No 50,000 $1.00 November 200,000
27, 2016
305,000
Total Number of optioned shares proposed for acceptance: 305,000.
FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT
OR AMENDMENT
September 09, 2003
Page 1
2. Other Presently Outstanding Options:
No. of Optioned Exercise Original Date
Name of Optionee Shares(1) Price of Grant Expiry Date
Officers/Management
Richard Potts 600,000 $1.00 July 17, 2006 July 14, 2016
Radu Leca 400,000 $1.00 July 17, 2006 July 14, 2016
Kevin Gilbride 180,000 $1.00 July 17, 2006 July 14, 2016
Eva Kettle 180,000 $1.00 July 17, 2006 July 14, 2016
Directors
Suresh Kumar 150,000 $1.00 July 17, 2006 July 14, 2016
Jeffrey Puritt 150,000 $1.00 July 17, 2006 July 14, 2016
David Silver 150,000 $1.00 July 17, 2006 July 14, 2016
Employees 465,000 $1.00 July 17, 2006 July 14, 2016
Consultants 440,000 $1.00 July 17, 2006 July 14, 2011
Consultants 315,000 $1.00 July 17, 2006 July 14, 2009
3,030,000
(1) Set out number of optioned shares for each grant with different terms.
3. Additional Information
(a) If shareholder approval was required for the grant of options (including prior
approval of a stock option plan), state the date that the shareholder meeting
approving the grant was or will be held.
Adoption and approval of Share Option Plan at the meeting of
shareholders on June 30, 2006
(b) State the date of the news release announcing the grant of options.
None
FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT
OR AMENDMENT
September 09, 2003
Page 2
(c) State the total issued and outstanding share capital at the date of grant or
amendment.
The total share capital issued and outstanding at November 27, 2006
prior to the option grant dated November 27, 2006 was:
Common shares 57,497,373
Common share warrants (exercisable @$1.00) 269,896
Common share options (exercisable @$1.00) 3,030,000
(d) State, as a percentage of the issued and outstanding shares of the Issuer
indicated in (c) above, the aggregate number of shares that are subject to
incentive stock options, including new options, amended options and other
presently outstanding options.
The aggregate number of shares that are subject to share warrants and
share options are:
Common share warrants (269,896) 0.4%
Common share options (3,335,000) 5.5%
(e) If the new options are being granted pursuant to a stock option plan, state the
number of remaining shares reserved for issuance under the plan.
Total # of options reserved for issuance (10%) 5,749,737
Total granted 3,335,000
Remaining pool available 2,414,737
(f) If the Issuer has completed a public distribution of its securities within 90 days
of the date of grant, state the per share price paid by the public investors.
The Issuer completed a reverse takeover transaction and a private
placement on July 14, 2006 as described in the Management Information
Circular dated May 31, 2006. The price paid per share on a comparable
basis was $1.00 per share.
(g) Describe the particulars of any proposed material changes in the affairs of the
Issuer.
None
FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT
OR AMENDMENT
September 09, 2003
Page 3
4. Certificate of Compliance
The undersigned hereby certifies that:
1. The undersigned is a director and/or senior officer of the Issuer and has been
duly authorized by a resolution of the board of directors of the Issuer to sign
this Certificate of Compliance.
2. As of the date hereof there is no material information concerning the Issuer
which has not been publicly disclosed.
3. The undersigned hereby certifies to CNQ that the Issuer is in compliance with
the requirements of applicable securities legislation (as such term is defined
in National Instrument 14-101) and all CNQ Requirements (as defined in CNQ
Policy 1).
4. All of the information in this Form 11 Notice of Proposed Stock Option Grant
or Amendment is true.
Dated November 29, 2006
Kevin Gilbride
Chief Financial Officer &
Corporate Secretary
FORM 11 – NOTICE OF PROPOSED STOCK OPTION GRANT
OR AMENDMENT
September 09, 2003
Page 4
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