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FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB Approval
- ------------------------- Washington, D.C. 20549 ------------------------------
[ ] Check this box if no OMB Number: 3235-0362
longer subject to Expires: December 31, 2001
Section 16. Form 4 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
or Form 5 obligations hours per response.......1.0
may continue. See ------------------------------
Instruction 1(b). Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
[ ] Form 3 Holdings Section 17(a) of the Public Utility Holding Company Act of 1935 or
Reported Section 30(f) of the Investment Company Act of 1940
[ ] Form 4 Transactions
Reported
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1. Name and Address of Rerporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
Immtech International, Inc.; IMMT
Sorkin Eric L. [X] Director [ ] 10% Owner
- ------------------------------------------------------------------------------------------ [ ] Officer (give [ ] Other (specify
(Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for title below)
Number of Reporting Month/Year below)
Person, if an entity
(Voluntary) May 15, 2000
One North End Avenue, Suite 1111 ------------------------------------
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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, New York 10282 Reporting Person
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(City) (State) (Zip)
TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<S> <C> <C> <C> <C> <C> <C>
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1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
(Instr. 3) action Code (Instr. or Disposed of (D) Securities Form: Indirect
Date 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial
(Month/ Owned at End or Indirect Ownership
Day/ of Issuer's (I) (Instr. 4)
Year) Fiscal Year (Instr. 4)
(Instr. 3
and 4)
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Amount (A) or (D) Price
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Common Stock 01/27/00 1,000 A $27.50 1,000 D
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Common Stock 02/02/00 650 A $27.00 650 D
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Common Stock 02/04/00 1,000 A $27.00 1,000 D
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Common Stock 04/20/00 1,000 A $19.50 1,000 D
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Common Stock 04/20/00 1,000 A $20.00 1,000 D
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Common Stock 05/04/00 1,000 A $17.00 1,000 D
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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
Page 1 of 2
SEC 2270 (3-99)
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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> <C> <C> <C>
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1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11. Nature of
of sion or action action Derivative Exer- and of of ship Indirect
Deri- Exercise Date Code Securities cisable Amount Deri- Deri- of Deri- Beneficial
vative Price of (Instr. Acquired (A) and Expi- of vative vative vative Ownership
Secu- Deri- (Month/ 8) or Disposed ration Under- Secu- Secu- Security: (Instr. 4)
rity vative Day/ of (D) Date Lying rity rities Direct
(Instr. Security Year) (Instr. 3, (Month/ Securi- (Instr. Benefi- (D) or
3) 4, and 5) Day/ ties 5) cially Indirect
Year) (Instr. Owned (I)
3 and 4) at End (Instr.
of 4)
Year
(Instr.
4)
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(A) (D) Date Expir- Title Amount
Exerci- ation or
sable Date Number
of
Shares
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Warrants $6.47 01/21/00 J(1) 195,000 Pres- 07/24/04 Common 195,000 $1.12(3) 30,000 I(4) has voting
per share ently Stock control of
RADE
Management
Corporation
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Warrants $6.47 01/21/00 J(1) 650,000 Pres- 10/12/04 Common 650,000 $2.96(3) 100,000 I(4) has voting
per share ently Stock control of
RADE
Management
Corporation
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Warrants $6.47 01/21/00 J(2) 51,923 Pres- 07/24/04 Common 51,923 $1.12(3) 51,923 D
per share ently Stock
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Warrants $6.47 01/21/00 J(2) 173,077 Pres- 10/12/04 Common 173,077 $2.96(3) 173,077 D
per share ently Stock
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Explanation of Responses:
(1) Portions of these warrants are being transferred to third parties pursuant
to an agreement entered into in 1998 between RADE Management Corporation
and such third parties. Such third parties became entitled to these
warrants because of services rendered by them to the issuer.
(2) Mr. Sorkin is receiving these warrants as part of the transfer referred to
in explanation number one above.
(3) The warrants expiring on 07/24/04 were valued at such price as of 03/31/98,
and the warrants expiring on 10/12/04 were valued at such price as of
10/12/98.
(4) Mr. Sorkin disclaims beneficial ownership of these securities, and this
report shall not be deemed to be an admission that he is the beneficial
owner of such securities for purposes of Section 16 or for any other
purpose.
** 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 5/15/00
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.
Page 2 of 2
SEC 2270 (3-99)
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