U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 5
ANNUAL 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(f) of the Investment Company Act of 1940
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
The Guardian Life Insurance Company of America
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(Last) (First) (Middle)
7 Hanover Square
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(Street)
New York, NY 10004
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
HYBRIDON, INC
HYBN
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
12/99
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5. If Amendment, Date of Original (Month/Year)
5/98
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
[ ] Form filed by One Reporting Person
[X] Form filed by More than One Reporting Person
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* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
5. 6.
4. Amount of Owner-
Security Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
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FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common 0.25 353,316 D N/A
Stock par
value
$.001 per
share
Class A Warrants 4.25/sh 5/5/98 5/5/99 5/5/04 ("common") 353,320(1)
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0.2513 18,596 D N/A
Class A Warrants 4.25/sh 5/5/98 5/5/99 5/5/04 Common 18,596(2)
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0.80 252,101 D N/A
Class D Warrants 2.40/sh 5/5/98 5/5/99 5/5/04 Common 252,101(1)
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Series A 53.75 2,713 D N/A
Convertible See
preferred, Par .01 note 3 9/30/98 P4 2,713 1/1/99 N/A Common 2,713(1)
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Series A 40.0 3,545 D N/A
Convertible See
preferred, Par .01 note 3 10/1/99 P4 3,545 1/1/99 N/A Common 3,545(1)
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Series A 53.75 83 D N/A
Convertible See
preferred, Par .01 note 3 9/30/98 P4 83 1/1/99 N/A Common 83(2)
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Series A 40.0 109 D N/A
Convertible See
preferred, Par .01 note 3 10/1/99 P4 109 1/1/99 N/A Common 109(2)
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Series A 98.5290 60,064 D N/A
Convertible See
preferred, Par .01 note 3 5/4/98 5/5/99 N/A Common 60,064(1)
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Series A 98.5373 3,161 D N/A
Convertible See
preferred, Par .01 note 3 5/4/98 5/5/99 N/A Common 3,161(2)
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Series A 65.2943 42,857 D N/A
Convertible See
preferred, Par .01 note 3 5/4/98 5/5/99 N/A Common 42,857(1)
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</TABLE>
Explanation of Responses:
(1) These securities are owned solely by The Guardian Life Insurance Company
of America
(2) These securities are owned solely by The Guardian Life Insurance Company
of America Master Pension Trust
(3) Conversion factor is 1 share convertible = 23.529 common
2/14/00
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**Signature of Reporting Person Date
Name: John B. Murphy
Title: Vice President
** 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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Joint Filer Information
Name: The Guardian Life Insurance Company of
America Master Pension Trust
Address: 7 Hanover Square
New York, NY 10004
Designated Filer: The Guardian Life Insurance Company of
America
Issuer & Ticker Symbol: Hybridon, Inc. (HYBN)
Date of Event Requiring Statement: 9/30/98, 10/1/99, 12/31/99
Signature: /s/ John B. Murphy
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Name: JOHN B. MURPHY
Title: VICE PRESIDENT
