<PAGE> 1
FORM 4
[ ] CHECK THIS BOX IF NO LONGER
SUBJECT TO SECTION 16. FORM 4
OR FORM 5 OBLIGATIONS MAY
CONTINUE. SEE INSTRUCTION 1(b).
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FILED PURSUANT TO SECTION 16(a) OF THE SECURITIES EXCHANGE ACT OF 1934, SECTION
17(a) OF THE PUBLIC UTILITY HOLDING COMPANY ACT OF 1935 OR SECTION 30(1) OF THE
INVESTMENT COMPANY ACT OF 1940
OMB APPROVAL
OMB NUMBER 3235-0287
EXPIRES: FEBRUARY 1, 2001
ESTIMATED AVERAGE BURDEN
HOURS PER RESPONSE......0.5
1. Name and Address of Reporting Person
CLEMENS PETER A.
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(LAST) (FIRST) (MIDDLE)
C/O HALSEY DRUG CO., INC. 695 N. PERRYVILLE RD. BLDG. 2
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(STREET)
ROCKFORD ILLINOIS 61107
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(CITY) (STATE) (ZIP)
2. ISSUER NAME AND TICKER OR TRADING SYMBOL
HALSEY DRUG CO., INC. HDG
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3. IRS OR SOCIAL
SECURITY NUMBER OF
REPORTING PERSON
(VOLUNTARY)
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4. STATEMENT FOR MONTH/YEAR
4/99
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5. IF AMENDMENT, DATE OF
ORIGINAL (MONTH/YEAR)
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6. RELATIONSHIP OF REPORTING PERSON TO ISSUER
(CHECK ALL APPLICABLE)
X DIRECTOR 10% OWNER
-- --
X OFFICER (GIVE OTHER (SPECIFY
-- --
TITLE BELOW)
BELOW)
VICE PRESIDENT AND CHIEF FINANCIAL OFFICER
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TABLE I-- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
1. TITLE OF SECURITY 2. TRANS- 3. TRANS- 4. SECURITIES ACQUIRED (A) 5. AMOUNT OF 6. OWNER 7. NATURE OF
(INSTR. 3) ACTION ACTION OR DISPOSED OF (D) SECURITIES SHIP FORM: INDIRECT
DATE CODE (INSTR. 3, 4, AND 5) BENEFICIALLY DIRECT (D) BENEFICIAL
(INSTR. 8) OWNED AT OR INDIRECT OWNERSHIP
(MONTH/ END OF MONTH (I) (INSTR. 4)
DAY/ (INSTR. 3 AND (INSTR. 4)
YEAR) 4)
CODE V AMOUNT (A) OR PRICE
(D)
COMMON STOCK 10/1/98 A* 842 A* $1.8406 D
COMMON STOCK 1/1/99 A* 1,333 A* $1.1625 D
2,175
</TABLE>
REMINDER: REPORT ON A SEPARATE LINE FOR EACH CLASS OF SECURITIES BENEFICIALLY
OWNED DIRECTLY OR INDIRECTLY.
* SEE FOOTNOTE (2) TO TABLE II.
(OVER)
<PAGE> 2
FORM 4 (CONTINUED)
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<TABLE>
<CAPTION>
1. TITLE OF DERIVATIVE 2. 3. 4. 5. 6.
SECURITY CONVER- TRANS- TRANS- NUMBER OF DATE EXER-
(INSTR. 3) SION OR ACTION ACTION DERIVATIVE CISABLE AND
EXERCISE DATE CODE SECURITIES AC- EXPIRATION
PRICE OF (MONTH/ (INSTR. QUIRED (A) OR DATE
DERIV- DAY/ 8) DISPOSED OF (D) (MONTH/DAY/
ATIVE YEAR) (INSTR. 3, 4, AND YEAR)
SECURITY 5)
DATE EXPIR-
EXER ATION
CISABLE- DATE
CODE V (A) (D)
<S> <C> <C> <C> <C> <C> <C> <C> <C>
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5% CONVERTIBLE SENIOR $1.404 3/10/98 A (1) 3/10/98 3/15/03
SECURED DEBENTURES
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WARRANTS $1.404 3/10/98 A (1) 3/10/98 3/15/05
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WARRANTS $2.279 3/10/98 A (1) 3/10/98 3/15/05
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5% CONVERTIBLE SENIOR $1.404 6/12/98 A4 (2) 6/12/98 3/15/03
SECURED DEBENTURES
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WARRANTS $1.404 6/12/98 A4 (2) 6/12/98 3/15/05
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WARRANTS $2.279 6/12/98 A4 (2) 6/12/98 3/15/05
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NON-QUALIFIED STOCK OPTIONS $2.375 2/19/98 A4 (3) 2/19/08
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5% CONVERTIBLE SENIOR $1.1312 4/1/99 A (2) 4/1/99 3/15/03
SECURED DEBENTURES
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NON-QUALIFIED STOCK OPTIONS $1.125 4/12/99 A (4) 3/8/00 3/8/09
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</TABLE>
<TABLE>
<CAPTION>
7. 8. PRICE 9. NUMBER 10. OWNER- 11. NATURE
TITLE AND AMOUNT OF OF OF DERIV- SHIP OF
UNDERLYING SECURITIES DERIV- ATIVE FORM OF INDIRECT
(INSTR. 3 AND 4) ATIVE SECURITIES DE- BENEFICIAL
SECURITY BENE- RIVATIVE OWNERSHIP
(INSTR.5) FICIALLY SECURITY:
OWNED AT DIRECT
END (D) OR (INSTR. 4)
OF MONTH INDIRECT
(I)
(INSTR. 4)
(INSTR. 4)
AMOUNT
OR
TITLE NUMBER
OF SHARES
- -------------------------------------------------------------------------------------------------
<C> <S> <C> <C> <C>
COMMON STOCK 71,225 71,225 D
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COMMON STOCK 10,101 10,101 D
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COMMON STOCK 10,101 10,101 D
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COMMON STOCK 17,121 17,121 D
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COMMON STOCK 2,428 2,428 D
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COMMON STOCK 2,428 2,428 D
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COMMON STOCK 300,000 300,000 D
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COMMON STOCK 1,370 1,370 D
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COMMON STOCK 100,000 100,000 D
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</TABLE>
EXPLANATION OF RESPONSES:
(1) PURCHASED IN CONNECTION WITH A PRIVATE OFFERING ON MARCH 10, 1998
CONSISTING OF A CONVERTIBLE DEBENTURE CONVERTIBLE AT ANY TIME AND
STOCK PURCHASE WARRANTS (10,101 SHARES OF WHICH ARE PRESENTLY
EXERCISABLE AT $1.404 PER SHARE AND 10,101 SHARES OF WHICH ARE
PRESENTLY EXERCISABLE AT $2.279 PER SHARE).
(2) ACQUIRED PURSUANT TO AN OPTION EXERCISE IN JUNE 1998, CONSISTING OF:
(i) A CONVERTIBLE DEBENTURE, CONVERTIBLE AT ANY TIME; (ii) WARRANTS TO
PURCHASE SHARES OF COMMON STOCK (2,428 SHARES OF WHICH ARE PRESENTLY
EXERCISABLE AT $1.404 PER SHARE AND 2,428 SHARES OF WHICH ARE
PRESENTLY EXERCISABLE AT $2.279 PER SHARE); AND (iii) CERTAIN INTEREST
PAYMENTS PAYABLE QUARTERLY WHICH ARE PAID IN THE FORM OF SHARES OF
COMMON STOCK OF THE ISSUER (SEE TABLE I).
(3) OPTIONS VEST QUARTERLY, WITH 25,000 OPTIONS VESTING EVERY QUARTER
EFFECTIVE MAY 1, 1998.
(4) OPTIONS VEST 25% ANNUALLY, WITH 25,000 OPTIONS VESTING EVERY MARCH 8,
BEGINNING MARCH 8, 2000.
/s/ Peter A. Clemens May 6, 1999
---------------------- ------------
NAME: PETER A. CLEMENS DATE
SIGNATURE OF REPORTING PERSON
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 SPACED PROVIDED IS INSUFFICIENT, SEE INSTRUCTION 6 FOR PROCEDURE.
