1)
|
NAME
OF REPORTING PERSON
S.S.
OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Eric
A. Rose, M.D.
|
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2)
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
(a) ¨
(b) ¨
|
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3)
|
SEC
USE ONLY
|
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4)
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
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NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH
|
5)
|
SOLE
VOTING POWER
905,192*
|
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6)
|
SHARED
VOTING POWER
0
|
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7)
|
SOLE
DISPOSITIVE POWER
905,192*
|
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8)
|
SHARED
DISPOSITIVE POWER
0
|
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9)
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
905,192*
|
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10)
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES
¨
|
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11)
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.3%
|
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12)
|
TYPE
OF REPORTING PERSON
IN
|
(a)
|
¨
|
Broker
or Dealer Registered Under Section 15 of the Act (15 U.S.C.
78o)
|
(b)
|
¨
|
Bank
as defined in section 3(a)(6) of the Act (15 U.S.C.
78c)
|
(c)
|
¨
|
Insurance
Company as defined in section 3(a)(19) of the Act (15 U.S.C.
78c)
|
(d)
|
¨
|
Investment
Company registered under section 8 of the Investment Company Act
of 1940
(15 U.S.C. 80a-8)
|
(e)
|
¨
|
An
investment adviser in accordance with §
240.13d-1(b)(1)(ii)(E)
|
(f)
|
¨
|
An
employee benefit plan or endowment fund in accordance with §
240.13d-1(b)(1)(ii)(F)
|
(g)
|
¨
|
A
parent holding company or control person in accordance with
§240.13d-1(b)(ii)(G)
|
(h)
|
¨
|
A
savings association as defined in Section 3(b) of the Federal Deposit
Insurance Act (12 U.S.C. 1813)
|
(i)
|
¨
|
A
church plan that is excluded from the definition of an investment
company
under section 3(c)(14) of the Investment Company Act of 1940 (15
U.S.C.
80a-3)
|
(j)
|
¨
|
Group,
in accordance with
§240.13d-1(b)(ii)(J)
|
(a)
|
Amount
beneficially owned: 905,192*
|
(b)
|
Percent
of class: 7.3%
|
(c)
|
Number
of shares as to which such person
has:
|
(i)
|
Sole
power to vote or to direct the vote:
905,192*
|
(ii)
|
Shared
power to vote or to direct the vote:
None
|
(iii)
|
Sole
power to dispose or to direct the disposition of:
905,192*
|
(iv)
|
Shared
power to dispose or to direct the disposition of:
None
|