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Kandel Eric R – ‘3’ for 4/5/04 re: Memory Pharmaceuticals Corp.

On:  Monday, 4/5/04, at 5:27pm ET   ·   For:  4/5/04   ·   As:  10% Owner   ·   Accession #:  1209191-4-19498   ·   File #:  0-50642

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/05/04  Kandel Eric R                     3          10% Owner   2:11K  Memory Pharmaceuticals Corp.      DONNELLEY FIN… File16/FA

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Form 3 Submission -- doc3.xml/2.1                   HTML      9K 
 2: EX-24.3_37774  POA Document                                        2±     8K 


‘3’   —   Form 3 Submission — doc3.xml/2.1




        

This ‘3’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 3 Submission
 
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0104
Estimated average burden
hours per response:0.5
1. Name and Address of Reporting Person*
KANDEL ERIC R

(Last)(First)(Middle)
168TH STREET
6TH FLOOR

(Street)
NEW YORKNY10032

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
4/5/04
3. Issuer Name and Ticker or Trading Symbol
MEMORY PHARMACEUTICALS CORP [ MEMY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock98,300D
Common Stock98,300IIndirect ownership of shares owned by Denise Kandel
Common Stock65,533IIndirect ownership of shares owned by Minouche Kandel
Common Stock65,533IIndirect ownership of shares owned by Paul Kandel
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year)3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Stock Option (Right to Buy) 4/1/02 3/31/12Common Stock92,6580.75D
Stock Option (Right to Buy) 12/18/03 12/17/13Common Stock91,7262.7D
Stock Option (Right to Buy) 4/1/02 3/31/12Common Stock61,7720.75IIndirect ownership of shares owned by Minouche Kandel
Stock Option (Right to Buy) 4/1/02 3/31/12Common Stock61,7720.75IIndirect ownership of shares owned by Paul Kandel
Stock Option (Right to Buy) 4/1/02 3/31/12Common Stock92,6580.75IIndirect ownership of shares owned by Denise Kandel
Explanation of Responses:
Remarks:
Eric R. Kandel, by power of atty. 3/23/04
** Signature of Reporting PersonDate
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 5 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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