Please wait
SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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: 3235-0287
Estimated average burden
hours per response: 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Fairbanks Timothy

(Last) (First) (Middle)
13650 N.W. 8TH STREET
SUITE 109

(Street)
SUNRISE FL 33325

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NationsHealth, Inc. [ NHRX.OB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
3. Date of Earliest Transaction (Month/Day/Year)
07/23/2009
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 07/23/2009 D 283,129 D $0.12(1) 0 D
Common Stock 07/23/2009 D 283,129 A $0.12(1) 283,129 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Option to buy) $6.87 07/23/2009 D 12,500 (2) 10/21/2010 NationsHealth, Inc. Common Stock 12,500 $0.00 0 D
Stock Option (Option to buy) $0.3 07/23/2009 D 148,750 (3) 05/14/2014 NationsHealth, Inc. Common Stock 148,750 $0.00 0 D
Explanation of Responses:
1. Each share of Common Stock was exchanged pursuant to that certain Exchange and Rollover Agreement, by and among certain of the Reporting Persons, the Issuer and the other parties thereto (the "Exchange and Rollover Agreement") for the same number of shares of non-voting common stock of NationsHealth Acquisition Corp., a Delaware corporation ("Merger Sub"). Each share of non-voting common stock of Merger Sub issued to the Reporting Persons pursuant to the Exchange and Rollover Agreement was converted into and became one share of Common Stock of the Issuer pursuant to the terms of that certain Agreement and Plan of Merger, by and among the Issuer, Merger Sub and ComVest NationsHealth Holdings, LLC.
2. All options granted under this award have vested.
3. The options granted under this award vest 25% on May 15, 2009 and 12.5% every six months thereafter.
Remarks:
/s/ Timothy Fairbanks 07/27/2009
** 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 4 (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.