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FORM 3 U.S. 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,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Persons
LIFFMANN JOEL D.
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(Last) (First) (Middle)
c/o Oracle Strategic Partners, L.P.
712 Fifth Avenue, 45th Floor
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(Street)
New York New York 10019
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(City) (State) (Zip)
8/19/99
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2. Date of Event Requiring Statement (Month/Day/Year)
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3. IRS or Social Security Number of Reporting Person, (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Halsey Drug Co., Inc. (HDG)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
(Title Below)
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If Amendment, Date of Original (Month/Day/Year)
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TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5)
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<S> <C> <C> <C>
NONE
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses) (Over)
403582-1 SFC 1473 (8-92)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
1. Title of Derivative 2. Date Exercisable (Instr. 4) Derivative
Security (Instr. 4) and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
Exer- tion of Derivative (I) Ownership
cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
(1)
Non Qualified 8/19/09 COMMON STOCK 10,000 2 1/2 D
Stock Options
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Explanation of Responses:
(1) Options vest over twelve (12) months as follows: 2,500 on 11/19/99, 2,500 on
2/19/00, 2,500 on 5/19/00 and the final 2,500 options on 8/19/00.
/s/ Joel D. Liffmann August 23, 1999
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**Signature of Reporting Person Date
** 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 provided is insufficient, see Instruction 6 for procedure.
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