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- ------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------
FORM 3 Washington, D.C. 20549 OMB Approval
- ------------------------- INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES ------------------------------
OMB Number: 3235-0104
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Expires: December 31, 2001
Section 17(a) of the Public Utility Holding Company Act of 1935 or Estimated average burden
Section 30(f) of the Investment Company Act of 1940 hours per response.......0.5
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(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer name and Ticker or Trading Symbol
Statement (Month/Day/Year)
1/18/00 Immtech International, Inc., - IMMT
Sorkin Eric L. ----------------------------------------------------------------------------------------
------------------------------------ 3. I.R.S. Identification 5. Relationship of Reporting 6. If Amendment, Date of
(Last) (First) (Middle) Number of Reporting Person(s) to Issuer Original
Person, if an entity (Check all applicable) (Month/day/Year)
(Voluntary)
93 Prospect Avenue [X] Director
------------------------------------ [ ] Officer ----------------------------
(Street) (give title below) 7. Individual or Joint/Group
[ ] 10% Owner Filing
[ ] Other (Check Applicable Line)
Montclair, New Jersey 07042 (specify below) [X] Form Filed by One
------------------------------------ Reporting Person
(City) (State) (Zip) [ ] Form Filed by More
------------------------- than One Reporting
Person
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TABLE I NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
<S> <C> <C> <C>
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1. Title of Security 2. Amount of Securities 3. Ownership Form: Direct (D) 4. Nature of Indirect
(Instr. 4) Beneficially Owned or Indirect (I) (Instr. 5) Beneficial Ownership
(Instr. 4) (Instr. 5)
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Common Stock 16,000 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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
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SEC 1473 (3-99)
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FORM 3 (CONTINUED)
TABLE II-- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of 2. Date Exer- 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature of
Derivative cisable and Securities Underlying Exercise Price Form of Indirect
Security Expiration Derivative Security of Derivative Derivative Beneficial
(Instr. 4) Date (Instr. 4) Security Security: Ownership
(Month/Day/Year) Direct (D) or (Instr. 5)
Indirect (I)
(Instr. 5)
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Date Expira- Title Amount or
Exer- tion Number of
cisable Date Shares
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Warrants Presently 7/24/03 Common Stock 51,923 $6.47 per share D
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Warrants Presently 10/12/03 Common Stock 173,077 $6.47 per share D
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Explanation of Responses:
** 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 /s/ ERIC L. SORKIN 1/27/00
signed. If space is insufficient, see Instruction 6 for ------------------------------------ -------
procedure. ** Signature of Reporting Person Date
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.
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SEC 1473 (3-99)
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