Nevada
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0-22245
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87-0449967
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||
(State or other jurisdiction of
incorporation)
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(Commission File Number)
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(I.R.S. Employer
Identification No.)
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6330 Nancy Ridge Drive, Suite 103, San Diego, California
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92121
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(Address of principal executive offices)
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(Zip Code)
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Former name or former address, if changed since last report
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¨
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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¨
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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¨
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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¨
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Exhibit Number
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Description of Exhibit
|
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3.1
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Certificate of Designation for Series D Junior Participating Cumulative Preferred Stock (1)
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4.1
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Form of Common Stock Certificate
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4.2
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Stockholder Rights Agreement, dated as of March 22, 2011, by and between Apricus Biosciences, Inc. and Wells Fargo Bank, N.A. (1)
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(1)
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Filed with Apricus’ Registration Statement on Form 8-A, filed with the Securities and Exchange Commission on March 24, 2011, and incorporated by reference herein.
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March 24, 2011
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Apricus Biosciences, Inc.
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|||
By:
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/s/ Mark Westgate | |||
Mark Westgate
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||||
Vice President and Chief Financial Officer
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Exhibit Number
|
Description of Exhibit
|
|
3.1
|
Certificate of Designation for Series D Junior Participating Cumulative Preferred Stock (1)
|
|
4.1
|
Form of Common Stock Certificate
|
|
4.2
|
Stockholder Rights Agreement, dated as of March 22, 2011, by and between Apricus Biosciences, Inc. and Wells Fargo Bank, N.A. (1)
|
|
(1)
|
Filed with Apricus’ Registration Statement on Form 8-A, filed with the Securities and Exchange Commission on March 24, 2011, and incorporated by reference herein.
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UNIF GIFT MIN ACT
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—
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Custodian
|
|||||||
TEN COM
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—
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as tenants in common
|
(Cust) |
(Minor)
|
|||||
TEN ENT
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—
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as tenants by the entireties
|
under Uniform Gifts to Minors
|
||||||
JT TEN
|
—
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as joint tenants with right of
survivorship and not as tenants
in common
|
Act
|
||||||
(State) |
UNIF TRF MIN ACT
|
—
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Custodian (until age
|
)
|
|||||
(Cust)
|
||||||||
under Uniform Transfers
|
||||||||
(Minor)
|
to Minors Act
|
||||||
(State)
|
||||||
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
|
|
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) | |
Shares
|
|
of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
|
|
Attorney
|
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to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.
|
Dated
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|
|
|
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||
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|
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NOTICE:
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THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.
|
By
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THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.
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