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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
/ / FORM 3 HOLDINGS Utility Holding Company Act of 1935 or Section
REPORTED 30(f) of the Investment Company Act of 1940
/ / FORM 4
TRANSACTIONS
REPORTED
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<S> <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) 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 ---- ---
c/o Magainin Pharmaceuticals Inc. Number of Reporting Month/Year X Officer (give Other (Specify
5110 Campus Drive Person (Voluntary) 12/97 ---- title --- below)
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(Street) Chairman, President and 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
(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)
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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 $7.380 7/9/97 A 70,000 7/9/98+ 7/9/2007 Common 70,000 0
Stock
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<S> <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 (l) (Instr. 4)
of Year (Instr. 4)
(Instr. 4)
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70,000 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
July 9, 1997
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Jay Moorin 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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