CUSIP No. 09071P109
|
||
|
||
Names of reporting persons
|
||
|
||
Bellejule Partners, LP
|
||
|
||
Check the appropriate box if a member of a group (see instructions)
|
||
(a)
|
||
(b)
|
||
|
||
(3)
|
SEC use only
|
|
|
||
Source of funds (see instructions)
|
||
|
||
OO
|
||
|
||
Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)
|
||
|
||
Citizenship or place of organization
|
||
Delaware
|
||
|
||
Number of shares beneficially owned by each reporting person with:
|
||
Sole Voting Power
|
||
0
|
||
|
||
Shared Voting Power
|
||
4,740,509 (1)
|
||
|
||
Sole Dispositive Power
|
||
0
|
||
|
||
Shared Dispositive Power
|
||
4,740,509 (1)
|
||
|
||
Aggregate Amount Beneficially Owned by Each Reporting Person
|
||
4,740,509 (2)
|
||
|
||
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)
|
||
|
||
Percent of Class Represented by Amount in Row (11)
|
||
22.2% (3)
|
||
|
(1)
|
This number does not reflect the reporting persons’ ownership of 4,421,430 warrants to purchase common stock, par value $0.01 per share. These warrants are immediately exercisable, but a contractual provision prohibits the reporting persons from exercising such warrants if such exercise would result in all of the reporting persons owning more than 4.99% of the Company’s common stock. Due to the current ownership of the reporting persons, they are prohibited from exercising any warrants.
|
|
(2)
|
These shares are held directly by Bellejule Partners, LP (“Bellejule Partners”). Ronald Levine is the general partner of Bellejule Partners, and in such capacity, Mr. Levine may be deemed to have voting and dispositive power over the shares held directly by Bellejule Partners. Mr. Levine is also a beneficiary of Bellejule Partners
|
|
(3)
|
Based on 21,395,752 outstanding shares of common stock, par value $0.01 per share, as reported by Biodrain Medical, Inc. on its Annual Report on Form 10-K (“Form 10-K”) on March 31, 2011.
|
CUSIP No. 09071P109
|
||
|
||
(1)
|
Names of reporting persons
|
|
Caron Partners, LP
|
||
|
||
(2)
|
Check the appropriate box if a member of a group (see instructions)
|
|
(a)
|
||
(b)
|
||
|
||
(3)
|
SEC use only
|
|
|
||
(4)
|
Source of funds (see instructions)
|
|
OO
|
||
|
||
(5)
|
Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)
|
|
|
||
(6)
|
Citizenship or place of organization
|
|
Delaware
|
||
|
||
Number of shares beneficially owned by each reporting person with:
|
||
(7)
|
Sole Voting Power
|
|
0
|
||
|
||
(8)
|
Shared Voting Power
|
|
4,740,509 (1)
|
||
|
||
(9)
|
Sole Dispositive Power
|
|
0
|
||
|
||
(10)
|
Shared Dispositive Power
|
|
4,740,509 (1)
|
||
|
||
(11)
|
Aggregate Amount Beneficially Owned by Each Reporting Person
|
|
4,740,509 (2)
|
||
|
||
(12)
|
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)
|
|
|
(13)
|
Percent of Class Represented by Amount in Row (11)
|
22.2% (3)
|
|
|
|
(14)
|
Type of Reporting Person (See Instructions)
|
PN
|
|
|
|
(1)
|
This number does not reflect the reporting persons’ ownership of 4,421,430 warrants to purchase common stock, par value $0.01 per share. These warrants are immediately exercisable, but a contractual provision prohibits the reporting persons from exercising such warrants if such exercise would result in all of the reporting persons owning more than 4.99% of the Company’s common stock. Due to the current ownership of the reporting persons, they are prohibited from exercising any warrants.
|
|
(2)
|
These shares are held directly by Caron Partners, LP (“Caron Partners”). Beth Levine is the general partner of Caron Partners, and in such capacity, Ms. Levine may be deemed to have voting and dispositive power over the shares held directly by Caron Partners. Ms. Levine is also the beneficiary of Caron Partners.
|
|
(3)
|
Based on 21,395,752 outstanding shares of common stock, par value $0.01 per share, as reported by Biodrain Medical, Inc. on its Form 10-K on March 31, 2011.
|
CUSIP No. 09071P109
|
||
|
||
(1)
|
Names of reporting persons
|
|
UBS FBO Ronald Levine IRA
|
||
|
||
(2)
|
Check the appropriate box if a member of a group (see instructions)
|
|
(a)
|
||
(b)
|
||
|
||
(3)
|
SEC use only
|
|
|
||
(4)
|
Source of funds (see instructions)
|
|
|
||
BK
|
||
|
||
(5)
|
Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)
|
|
|
||
(6)
|
Citizenship or place of organization
|
|
U.S.A.
|
||
|
||
Number of shares beneficially owned by each reporting person with:
|
||
(7)
|
Sole Voting Power
|
|
0
|
||
|
||
(8)
|
Shared Voting Power
|
|
4,740,509 (1)
|
||
|
||
(9)
|
Sole Dispositive Power
|
|
0
|
||
|
||
(10)
|
Shared Dispositive Power
|
|
4,740,509 (1)
|
||
|
||
(11)
|
Aggregate Amount Beneficially Owned by Each Reporting Person
|
|
4,740,509 (2)
|
||
|
||
(12)
|
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)
|
|
|
||
(13)
|
Percent of Class Represented by Amount in Row (11)
|
|
22.2% (3)
|
||
|
(14)
|
Type of Reporting Person (See Instructions)
|
IN
|
|
|
|
(1)
|
This number does not reflect the reporting persons’ ownership of 4,421,430 warrants to purchase common stock, par value $0.01 per share. These warrants are immediately exercisable, but a contractual provision prohibits the reporting persons from exercising such warrants if such exercise would result in all of the reporting persons owning more than 4.99% of the Company’s common stock. Due to the current ownership of the reporting persons, they are prohibited from exercising any warrants.
|
|
(2)
|
These shares are held directly by Ronald Levine. Mr. Levine is a beneficiary of UBS FBO Ronald Levine IRA, and may be deemed to have voting and dispositive power over the shares held directly by UBS FBO Ronald Levine IRA.
|
|
(3)
|
Based on 21,395,752 outstanding shares of common stock, par value $0.01 per share, as reported by Biodrain Medical, Inc. on its Form 10-K on March 31, 2011.
|
CUSIP No. 09071P109
|
||
|
||
(1)
|
Names of reporting persons
|
|
Ronald Levine IRA
|
||
|
||
(2)
|
Check the appropriate box if a member of a group (see instructions)
|
|
(a)
|
||
(b)
|
||
|
||
(3)
|
SEC use only
|
|
|
||
(4)
|
Source of funds (see instructions)
|
|
BK
|
||
|
||
(5)
|
Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)
|
|
|
||
(6)
|
Citizenship or place of organization
|
|
U.S.A.
|
||
|
||
Number of shares beneficially owned by each reporting person with:
|
||
(7)
|
Sole Voting Power
|
|
0
|
||
|
||
(8)
|
Shared Voting Power
|
|
4,740,509 (1)
|
||
|
||
(9)
|
Sole Dispositive Power
|
|
0
|
||
|
||
(10)
|
Shared Dispositive Power
|
|
4,740,509 (1)
|
||
|
||
(11)
|
Aggregate Amount Beneficially Owned by Each Reporting Person
|
|
4,740,509 (2)
|
||
|
||
(12)
|
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)
|
|
|
||
(13)
|
Percent of Class Represented by Amount in Row (11)
|
|
22.2%
|
||
|
(14)
|
Type of Reporting Person (See Instructions)
|
IN
|
|
|
|
(1)
|
This number does not reflect the reporting persons’ ownership of 4,421,430 warrants to purchase common stock, par value $0.01 per share. These warrants are immediately exercisable, but a contractual provision prohibits the reporting persons from exercising such warrants if such exercise would result in all of the reporting persons owning more than 4.99% of the Company’s common stock. Due to the current ownership of the reporting persons, they are prohibited from exercising any warrants.
|
|
(2)
|
These shares are held directly by Ronald Levine. Mr. Levine is a beneficiary of Ronald Levine IRA, and may be deemed to have voting and dispositive power over the shares held directly by Ronald Levine IRA.
|
|
(3)
|
Based on 21,395,752 outstanding shares of common stock, par value $0.01 per share, as reported by Biodrain Medical, Inc. on its Form 10-K on March 31, 2011.
|
CUSIP No. 09071P109
|
||
(1)
|
Names of reporting persons
|
|
Carole Levine IRA
|
||
(2)
|
Check the appropriate box if a member of a group (see instructions)
|
|
(a)
|
||
(b)
|
||
(3)
|
SEC use only
|
|
(4)
|
Source of funds (see instructions)
|
|
BK
|
||
(5)
|
Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)
|
|
(6)
|
Citizenship or place of organization
|
|
U.S.A.
|
||
Number of shares beneficially owned by each reporting person with:
|
||
(7)
|
Sole Voting Power
|
|
0
|
||
(8)
|
Shared Voting Power
|
|
4,740,509 (1)
|
||
(9)
|
Sole Dispositive Power
|
|
0
|
||
(10)
|
Shared Dispositive Power
|
|
4,740,509 (1)
|
||
(11)
|
Aggregate Amount Beneficially Owned by Each Reporting Person
|
|
4,740,509 (2)
|
||
(12)
|
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)
|
|
(13)
|
Percent of Class Represented by Amount in Row (11)
|
|
22.2% (3)
|
||
(14)
|
Type of Reporting Person (See Instructions)
|
IN
|
|
|
(1)
|
This number does not reflect the reporting persons’ ownership of 4,421,430 warrants to purchase common stock, par value $0.01 per share. These warrants are immediately exercisable, but a contractual provision prohibits the reporting persons from exercising such warrants if such exercise would result in all of the reporting persons owning more than 4.99% of the Company’s common stock. Due to the current ownership of the reporting persons, they are prohibited from exercising any warrants.
|
|
(2)
|
These shares are held directly by Carole Levine. Ms. Levine is a beneficiary of Carole Levine IRA, and may be deemed to have voting and dispositive power over the shares held directly by Carole Levine IRA.
|
|
(3)
|
Based on 21,395,752 outstanding shares of common stock, par value $0.01 per share, as reported by Biodrain Medical, Inc. on its Form 10-K on March 31, 2011.
|
(1)
|
Joint Filing Agreement attached hereto as Exhibit A.
|
|
(2)
|
A form of the Finder Agreement (incorporated by reference to Exhibit 10.13 to the Registration Statement on Form S-1 filed with the SEC on November 12, 2008)
|
|
(3)
|
A form of the Subscription Agreement (incorporated by reference to Exhibit 10.31 to the Registration Statement on Form S-1 filed with the SEC on November 12, 2008)
|
Bellejule Partners, LP
|
|
a Delaware company
|
|
/s/ Ronald Levine
|
|
By: Ronald Levine, General Partner
|
|
Caron Partners, LP
|
|
a Delaware company
|
|
/s/ Beth Levine
|
|
By: Beth Levine, General Partner
|
|
UBS FBO Ronald Levine IRA
|
|
An individual account
|
|
/s/ Ronald Levine
|
|
By: Ronald Levine
|
|
Ronald Levine IRA
|
|
An individual IRA account
|
|
/s/ Ronald Levine
|
|
By: Ronald Levine
|
|
Carole Levine IRA
|
|
An individual IRA account
|
|
/s/ Carole Levine
|
|
By: Carole Levine
|
Dated: April 8, 2011
|
Bellejule Partners, LP | ||
a Delaware company | |||
By:
|
/s/ Ronald Levine
|
||
Ronald Levine
General Partner
|
|||
Dated: April 8, 2011
|
Caron Partners, LP | ||
a Delaware company | |||
By:
|
/s/ Beth Levine
|
||
Beth Levine
General Partner
|
|||
Dated: April 8, 2011
|
UBS FBO Ronald Levine IRA | ||
an individual account | |||
By:
|
/s/ Ronald Levine
|
||
Ronald Levine
|
|||
Dated: April 8, 2011
|
Ronald Levine IRA | ||
an individual IRA account | |||
By:
|
/s/ Ronald Levine
|
||
Ronald Levine
|
|||
Dated: April 8, 2011
|
Carole Levine IRA | ||
an individual IRA account | |||
By:
|
/s/ Carole Levine
|
||
Carole Levine
|