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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 UNITED STATES 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, Section 17(a) of the Public Utility
/ / Form 3 Holdings Holding Company Act of 1935 or Section 30(f) of
Reported the Investment Company Act of 1940
/ / Form 4
Transactions
Reported
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<S> <C> <C> <C> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Shapiro Robert F. Magainin Pharmaceuticals Inc.-MAGN to Issuer (Check all applicable)
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year Officer (give Other (Specify
787 Seventh Avenue Person (Voluntary) 12/97 ---- title --- below)
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(Street) 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
New York, NY 10019 ---- 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
(Month/ (Instr. 8) end of Issuer's Direct Benefi-
Day/ Fiscal Year (D) or cial
Year) ---------------------------- (Instr. 3 and 4) Indirect Owner-
Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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*If the form is filed by more than one reporting person, 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, CALL, 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 (Month/ Code Securities Ac- Expiration Securities Deriv-
Price of Day/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Year) Disposed of (D) (Month/Day/ Secur-
ative (Instr. 3, 4, Year) ity
Security and 5) ----------------------------------- (Instr. 5)
Date Expira- Amount or
--------------- Exer- tion Title Number of
(A) (D) cisable Date Shares
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Option to buy $7.630 5/7/97 A 5,000 5/7/98+ 5/7/2007 Common 5,000 0
Stock
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<C> <C> <C>
9. Number of 10. Ownership 11. Nature of
Derivative of Derivative Indirect
Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (I) (Instr. 4)
of Year (Instr. 4)
(Instr. 4)
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5,000 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 May 7, 1997.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Robert F. Shapiro 2/11/98
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- --------
**Signature of Reporting Person Date
Note. File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the
form displays a currently valid OMB Number.
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