- Initial Statement of Beneficial Ownership (3)
April 27 2009 - 1:44PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0104
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February 28, 2011
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Karkus Ted William
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2. Date of Event Requiring Statement (MM/DD/YYYY)
4/6/2009
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3. Issuer Name
and
Ticker or Trading Symbol
QUIGLEY CORP [QGLY]
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(Last)
(First)
(Middle)
188 HEWLETT NECK ROAD,
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
WOODMERE, NY 11598
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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620850
(1)
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D
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Common Stock
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151473
(2)
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D
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Common Stock
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277000
(3)
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D
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Common Stock
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20000
(4)
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D
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Common Stock
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240000
(5)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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These securities are owned solely by Ted Karkus, who is a member of a "group" with the other filers hereto for purposes of
Section 13(d) of the Exchange Act.
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(
2)
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These securities are owned solely by Mark Burnett, who is a member of a "group" with the other filers hereto for purposes of
Section 13(d) of the Exchange Act.
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(
3)
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These securities are owned solely by John DeShazo, who is a member of a "group" with the other filers hereto for purposes of
Section 13(d) of the Exchange Act.
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(
4)
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These securities are owned solely by Louis Gleckel, MD, who is a member of a "group" with the other filers hereto for
purposes of Section 13(d) of the Exchange Act.
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(
5)
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These securities are owned solely by Mark Leventhal, who is a member of a "group" with the other filers hereto for purposes
of Section 13(d) of the Exchange Act.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Karkus Ted William
188 HEWLETT NECK ROAD
WOODMERE, NY 11598
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X
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Burnett Mark A.
C/O MERCBLOC, LLC
241 EAST SHORE ROAD, SUITE 205
GREAT NECK, NY 11023
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X
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DeShazo John
C/O FBN CONSTRUCTION COMPANY
17 WOLCOTT COURT
BOSTON, MA 02136
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X
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GLECKEL LOUIS MD
C/O PROHEALTH CARE ASSOCIATES LLP
2 OHIO DRIVE
LAKE SUCCESS, NY 11042
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X
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Leventhal Mark S
THE BEACON COMPANIES
50 FEDERAL STREET
BOSTON, MA 02110
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X
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Signatures
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/s/ Ted Karkus
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4/26/2009
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**
Signature of Reporting Person
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Date
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/s/ Mark Burnett
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4/26/2009
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**
Signature of Reporting Person
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Date
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/s/ John DeShazo
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4/26/2009
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**
Signature of Reporting Person
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Date
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/s/ Louis Gleckel, MD
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4/26/2009
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**
Signature of Reporting Person
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Date
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/s/ Mark Leventhal
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4/26/2009
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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 control number.
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