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OMB APPROVAL
OMB Number 3235-010
Expires: December 31, 2000
Estimated average burden
Hours per response 0.5
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FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
/ / CHECK BOX IF NO
LONGER SUBJECT TO Filed pursuant to Section 16(a) of the Securities
SECTION 16. FORM 4 Exchange Act of 1934, Section 17(a) of the
OR FORM 5 OBLIGATIONS Public Utility Holding Company Act of 1935
MAY CONTINUE. SEE or Section 30(f) of the Investment Company
INSTRUCTION 1(b). Act of 1940
(Print or Type Response)
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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)
Warrell, Jr. Raymond P. Genta Incorporated (Nasdaq: GNTA) to Issuer (Check all applicable)
--------------------------------------------- ---------------------------------------------- X Director 10% Owner
(Last) (First) (Middle) 3. IRS Identification 4. Statement for ---- ---
c/o Genta Incorporated, Two Oak Way Number of Reporting Month/Year X Officer (give Other (specify
--------------------------------------------- Person, if an entity 12/2000 ---- title --- below)
(Street) (Voluntary) ------------------ below)
Berkeley Heights NJ 07922 5. If Amendment, Chief Executive Officer
--------------------------------------------- Date of Original --------------------------------------
(City) (State) (Zip) (Month/Day/Year)
7. Individual or Joint/Group Filing
------------------ (Check Applicable Line)
X
---- Form filed by One
Reporting Person
---- Form filed by More than
One Reporting Person
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TABLE I -- 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 From: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock, par value $.001 12/21/2000 P 1,000 A $7.625 9,000(1) I (2)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
*If the Form is filed by more than one reporting person, see Instruction 5(b)(v).
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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 CONTROL NUMBER.
SEC1474 (3-99)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES 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 Expiration Securities Deriv-
Price of (Month/ (Instr. Acquired (A) Date (Instr. 3 and 4) ative
Deriv- Day/ 8) or Disposed (Month/Day/ Secur-
ative Year) of (D) Year) ity
Security (Instr. 3, (Instr. 5)
4, and 5) -----------------------------------
Date Expira- Amount or
---------------------------- Exer- tion Title Number of
Code V A D cisable Date Shares
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<S> <C> <C> <C>
9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Beneficially Derivative Beneficial
Owned at End Security: Ownership
of Month Direct (D) (Instr. 4)
(Instr. 4) or Indirect (I)
(Instr. 4)
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Explanation of Responses:
(1) Does not include 1,000 shares held by the Reporting Person's spouse's individual retirement account.
(2) Held by the Reporting Person's individual retirement account.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Raymond P. Warrell, Jr. 12/27/00
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. Page 2
If space provided is insufficient, see Instruction 6 for procedure.
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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.
