SEC FORM 3 SEC Form 3
FORM 3 UNITED 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
 
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1. Name and Address of Reporting Person*
LOPEZ DAVID L

(Last) (First) (Middle)
DISCOVERY LABORATORIES, INC.
350 SOUTH MAIN STREET, SUITE 307

(Street)
DOYLESTOWN PA 18901

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/12/2004
3. Issuer Name and Ticker or Trading Symbol
DISCOVERY LABORATORIES INC /DE/ [ DSCO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP & General Counsel
5. 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 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 Stock 3,571 D
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 Exercisable Expiration Date Title Amount or Number of Shares
Warrants (Rights to Buy) 03/21/2000 03/21/2005 Common Stock 46 7.375 D
Incentive Stock Option (Rights to Buy) (1) 12/13/2012 Common Stock 70,000 2.75 D
Incentive Stock Option (Rights to Buy) 06/27/2002 06/27/2012 Common Stock 25,000 1.72 D
Incentive Stock Option (Rights to Buy) 11/05/2002 11/05/2012 Common Stock 30,000 1.89 D
Incentive Stock Option (Rights to Buy) 09/21/2001 09/21/2011 Common Stock 55,000 2.1 D
Incentive Stock Option (Rights to Buy) 05/10/2001 05/10/2011 Common Stock 15,000 4.09 D
Incentive Stock Option (Rights to Buy) 05/15/2000 05/15/2010 Common Stock 40,000 4.125 D
Incentive Stock Option (Rights to Buy) 09/15/2000 09/15/2010 Common Stock 26,000 5.063 D
Incentive Stock Option (Rights to Buy) 09/12/2003 09/12/2013 Common Stock 100,000 8.079 D
Explanation of Responses:
1. All such options shall vest in their entirety upon the fourth anniversary of the date of the grant or at such earlier time, if ever, upon the receipt by the Company of a New Drug Application (NDA) approval by the United States Food and Drug Administration for Surfaxin for either Respiratory Distress Syndrome in premature infants, Meconium Aspiration Syndrome in full-term infants or Acute Respiratory Distress Syndrome in adults.
/s/David Lopez 03/22/2004
** 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 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.
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