SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LOBELL J JAY

(Last) (First) (Middle)
365 WEST END AVENUE

(Street)
NEW YORK NY 10024

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MANHATTAN PHARMACEUTICALS INC [ MHTT.OB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/07/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock $1.1 11/07/2003 P 9,718 11/07/2003 (1) Common Stock 88,345 $10 34,012 D
Series A Convertible Preferred Stock $1.1 11/07/2003 P 24,294 11/07/2003 (1) Common Stock 220,855 $10 34,012 I As Trustee(2)
Explanation of Responses:
1. The Series A Preferred Stock is immediately convertible into shares of common stock by Mr. Lobell and has no expiration date.
2. Mr. Lobell may be deemed to beneficially own (i) 831,213 shares owned by three trusts for which Mr. Lobell acts as the distribution and investment advisor, (ii) 2,913,058 shares of common stock owned by the Rosenwald 2000 Family Trust (the "Trust"), for which Mr. Lobell serves as the trustee, (iii) 220,855 shares of common stock issuable upon conversion of 24,294 shares of Series A Preferred Stock held by the Trust (iv) 25,419 shares of common stock owned directly by Mr. Lobell and (v) 88,345 shares of common stock issuable upon conversion of 24,294 shares of Series A Preferred Stock owned directly by Mr. Lobell.
/s/ Mr. Jay Lobell 11/13/2003
** Signature of Reporting Person Date
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).
** 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.
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