------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------
FORM 4 WASHINGTON, D.C. 20549 OMB Approval
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[ ] Check this box if no STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0287
longer subject to Expires: January 31, 2005
Section 16. Form 4 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
or Form 5 obligations Section 17(a) of the Public Utility Holding Company Act of 1935 or hours per response.......0.5
may continue. See Section 30(h) of the Investment Company Act of 1940 ------------------------------
Instruction 1(b).
(Print or Type Responses)
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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 Issuer
Immtech International, Inc.; (Check all applicable)
Chan, Cecilia IMMT [X] Director [ ] 10% Owner
------------------------------------ ----------------------------------------------- [X] Officer (give [ ] Other (specify
(Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for title below)
Number of Reporting Month/Day/Year below)
Person, if an entity
(Voluntary) 2/26/03 Executive Vice President
One North End Avenue --------------------------------------
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(Street) 5. If Amendment, 7. Individual or Joint/Group Filing
Date of (Check Applicable Line)
Original [X] Form filed by One Reporting Person
New York, New York 10282 (Month/Day/Year) [ ] Form filed by More than One
------------------------------------ Reporting Person
(City) (State) (Zip)
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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- 2A. Deemed 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
(Instr. 3) action Execu- Code (Instr. or Disposed of (D) Securities Form: Indirect
Date tion 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial
(Month/ Date, Owned or Indirect Ownership
Day/ if any Following (I) (Instr. 4)
Year) (Month/ Reported (Instr. 4)
Day/ Transaction(s)
Year) (Instr. 3
and 4)
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Code V Amount (A) or (D) Price
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Common Stock 2/26/03 P 25,000 (A) $4.00 317,125(1) (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 4(b)(v).
Page 1 of 2
SEC 1475 (9-02)
FORM 4 (continued)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title 2. Conver- 3. Trans- 3A. 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11. Nature of
of sion or action Deemed action Derivative Exer- and of of ship Indirect
Deriv- Exercise Date Execu- Code Securities cisable Amount Deriv- deriv- Form of Beneficial
ative Price of (Month/ tion (Instr. Acquired (A) and Expi- of ative ative Deriv- Ownership
Secu- Deriv- Day/ Date, 8) or Disposed ration Under- Secu- Secu- ative (Instr. 4)
rity ative Year) if any of (D) Date lying rity rities Secu-
(Instr. Security (Month/ (Instr. 3, (Month/ Securi- (Instr. Benefi- rity:
3) Day/ 4, and 5) Day/ ties 5) cially Direct
Year) Year) (Instr. Owned (D) or
3 and 4) Follow- Indirect
ing (I)
Reported (Instr.
Trans- 4)
action(s)
(Instr.
4)
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Code V (A) (D) Date Expir- Title Amount
Exerci- ation or
sable Date Number
of
Shares
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Explanation of Responses:
(1) Includes: Includes 34,032 shares of Common Stock; 5,781 shares of Common Stock issuable upon the conversion of Series B
Convertible Preferred Stock, 227,312 shares of Common Stock issuable upon the exercise of warrants as follows: vested warrant to
purchase 51,923 shares of Common Stock at $6.47 per share by July 24, 2004, vested warrant to purchase 173,077 shares of Common
Stock at $6.47 per share by October 12, 2004, and vested warrant to purchase 2,312 shares of Common Stock at $6.125 per share by
September 25, 2007, and an option to purchase 50,000 shares of Common Stock at $2.55 per share by December 24, 2012 (options vest in
equal monthly installments over 3 years from date of grant).
/s/ Cecilia Chan 2/26/03
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** Signature of Reporting Person Date
** 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 signed. If
space 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.
Page 2 of 2
SEC 1475 (9-02)