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OMB APPROVAL
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- ------ OMB Number: 3235-0362
FORM 5 Expires: September 30, 1998
- ------ Estimated average burden
hours per response .... 1.0
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/ / Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION
longer subject to WASHINGTON, DC 20549
Section 16. Form
4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
obligations may
continue. See Filed pursuant to Section 16(a) of the Securities
Instruction 1(b) Exchange Act of 1934,
/ / Form 3 Holdings Section 17(a) of the Public Utility
Reported Holding Company Act of 1935 or Section 30(f) of
/ / Form 4 the Investment Company Act
Transactions of 1940
Reported
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1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Moorin Jay Magainin Pharmaceuticals Inc. - MAGN Issuer (Check all applicable)
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year x Officer (give Other (Specify
c/o Magainin Pharmaceuticals Inc. Person (Voluntary) 12/96 ---- title --- below)
5110 Campus Drive ------------------- below)
- ------------------------------------------- Chairman, President and
(Street) Chief Executive Officer
5. If Amendment, 7. Individual or Joint/Group Reporting
Date of Original (Check applicable line)
(Month/Year) x Form Filed by One Reporting
---- Person
Form Filed by More than One
Plymouth Meeting PA 19462 ---- Reporting Person*
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(City) (State) (Zip) TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Issuer's Direct Benefi-
(Month/ Fiscal Year (D) or cial
Day/ ---------------------------- (Instr. 3 and 4) Indirect Owner-
Year) Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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(Over)
*If the form is filed by more than one reporting person, (Print or Type Responses) SEC 2270 (7/96)
see Instruction 4(b)(v).
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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)
<S> <C> <C> <C> <C> <C> <C> <C>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
--------------- Exer- tion Title Number of
(A) (D) cisable Date Shares
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Option to buy $10.50 6/28/96 A 50,000 6/28/97+ 6/28/2006 Common 50,000 0
Stock
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Option to buy $10.50 6/28/96 A 55,000 6/28/97++ 6/28/2007 Common 55,000 0
Stock
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<S> <C> <C> <C>
1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative of Derivative Indirect
(Instr. 3) Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (l) (Instr. 4)
of Year (Instr. 4)
(Instr. 4)
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50,000 D
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55,000 D
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Explanation of Responses:
+ Options exercisable at the rate of 25% of such option on each of the first four anniversary dates of
the date of grant, which was June 28, 1996.
++ Options exercisable at the rate of 20% of such option on each of the first five anniversary dates of
the date of the grant, which was June 28, 1996.
/s/ Jay Moorin 2/13/97
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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. Page 2
If space provided is insufficient, see Instruction 6 for procedure. SEC 2270 (7/96)
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