Alexandra Investment Management LLC – ‘13F-HR’ for 12/31/09

On:  Tuesday, 2/16/10, at 10:03am ET   ·   Effective:  2/16/10   ·   For:  12/31/09   ·   Accession #:  1172661-10-126   ·   File #:  28-10827

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Quarterly Holdings and Combination Report by a Money Manager   —   Form 13F
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 13F-HR      Form 13F Holdings Report                               3      7K 

13F-HR
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 UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549 

Form 13F

Form 13F COVER PAGE 

Report for the Calendar Year or Quarter Ended: December 31, 2009                

Check here if Amendment [  ]; Amendment Number:                                 
This Amendment (Check only one.): [  ] is a restatement.                        
                   [  ] adds new holdings entries.

Institutional Investment Manager Filing this Report:                            

Name:    Alexandra Investment Management, LLC                                   
Address: 780 Third Avenue                                                       
35th Floor                                                    
New York, NY  10017                                           

13F File Number:  28-10827                                                      

The institutional investment manager filing this report and the person by whom  
it is signed hereby represent that the person signing the report is authorized  
to submit it, that all information contained herein is true, correct and        
complete, and that it is understood that all required items, statements,        
schedules, lists, and tables, are considered integral parts of this form.       

Person Signing this Report on Behalf of Reporting Manager:                      

Name:      Mark Polemeni                                                        
Title:     Chief Legal Officer and Chief Compliance Officer                     
Phone:     212-301-1800                                                         

Signature, Place, and Date of Signing:                                          

/s/ Mark Polemeni     New York, NY/USA     February 16, 2010          

Report Type (Check only one.):                                                  

[ X]         13F HOLDINGS REPORT.                                               

[  ]         13F NOTICE.                                                        

[  ]         13F COMBINATION REPORT.                                            

13F-HR
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 FORM 13F SUMMARY PAGE

Report Summary:                                                                 

Number of Other Included Managers:         0                                    

Form13F Information Table Entry Total:     7                                    

Form13F Information Table Value Total:     $6,880 (thousands)                   

List of Other Included Managers:                                                

Provide a numbered list of the name(s) and Form 13F file number(s) of all       
institutional managers with respect to which this report is filed, other        
than the manager filing this report.                                            

NONE                                                                            

13F-HR
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                                                        [Enlarge/Download Table]
                                                                                                                                    
                                                     FORM 13F INFORMATION TABLE                                                     
                                                             VALUE  SHARES/ SH/ PUT/ INVSTMT  OTHER            VOTING AUTHORITY     
NAME OF ISSUER                 TITLE OF CLASS   CUSIP     (x$1000)  PRN AMT PRN CALL DSCRETN MANAGERS         SOLE   SHARED     NONE
------------------------------ ---------------- --------- -------- -------- --- ---- ------- ------------ -------- -------- --------
APPLIED ENERGETICS INC         COM              03819M106       34   104348 SH  CALL SOLE                   104348        0        0
BIOMARIN PHARMACEUTICAL INC    NOTE 1.875% 4/2  09061GAD3     2140  2000000 PRN      SOLE                  2000000        0        0
CYCLACEL PHARMACEUTICALS INC   PFD CONV EX 6%   23254L207      290   123400 SH       SOLE                   123400        0        0
EMPIRE RESORTS INC             NOTE 8.000% 7/3  292052AB3     1350  2700000 PRN      SOLE                  2700000        0        0
ENER1 INC                      COM NEW          29267A203     2898   457143 SH  CALL SOLE                   457143        0        0
EXIDE TECHNOLOGIES             *W EXP 05/05/201 302051123        4    44193 SH       SOLE                    44193        0        0
MENTOR GRAPHICS CORP           FRNT 8/0         587200AD8      164   170000 PRN      SOLE                   170000        0        0

Dates Referenced Herein

				Referenced-On Page
This ‘13F-HR’ Filing		Date		First		Last			Other Filings
Filed on / Effective on:		2/16/10		1					None on these Dates
For Period end:		12/31/09		1
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