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, 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
02/28/2005 |
3. Issuer Name and Ticker or Trading Symbol
NationsHealth, Inc. [ NHRX ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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, par value $0.0001 per share | 26,600 | D | |
Common Stock, par value $0.0001 per share | 2,046,096 | I | See footnotes ( 1 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 273,285 | I | See footnotes ( 2 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 1,020,833 | I | See footnotes ( 3 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 30,975 | I | See footnotes ( 4 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 38,800 | I | See footnotes ( 5 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 38,800 | I | See footnotes ( 6 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 24,775 | I | See footnotes ( 7 ) ( 9 ) |
Common Stock, par value $0.0001 per share | 14,150 | I | See footnotes ( 8 ) ( 9 ) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) |
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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 | ||||
Common Stock Warrants (right to buy) | 08/24/2004 | 08/25/2007 | Common Stock, par value $0.0001 per share | 430,502 | 5 | I | See footnotes ( 1 ) ( 9 ) |
Common Stock Warrants (right to buy) | 08/24/2004 | 08/25/2007 | Common Stock, par value $0.0001 per share | 57,499 | 5 | I | See footnotes ( 2 ) ( 9 ) |
Common Stock Warrants (right to buy) | 08/24/2004 | 08/25/2007 | Common Stock, par value $0.0001 per share | 242,999 | 5 | I | See footnotes ( 3 ) ( 9 ) |
7.75% Convertible Secured Notes due 2012 | 02/28/2005 | 02/28/2012 | Common Stock, par value $0.0001 per share | 1,151,129 | 6.56 | I | See footnotes ( 1 ) ( 9 ) |
7.75% Convertible Secured Notes due 2012 | 02/28/2005 | 02/28/2012 | Common Stock, par value $0.0001 per share | 153,750 | 6.56 | I | See footnotes ( 2 ) ( 9 ) |
7.75% Convertible Secured Notes due 2012 | 02/28/2005 | 02/28/2012 | Common Stock, par value $0.0001 per share | 981,701 | 6.56 | I | See footnotes ( 3 ) ( 9 ) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. These securities are held for the account of MHR Capital Partners LP, a Delaware limited partnership ("Capital Partners"). MHR Advisors LLC, a Delaware limited liability company ("Advisors"), is the general partner of Capital Partners and, in such capacity, may be deemed to be the beneficial owner of these securities and other securities held for the account of Capital Partners. Mark H. Rachesky, M.D. ("Dr. Rachesky") is the managing member of Advisors and, in such capacity, Dr. Rachesky may be deemed to be the beneficial owner of these securities and other securities held for the account of Capital Partners. |
2. These securities are held for the account of MHR Capital Partners (100) LP, a Delaware limited partnership ("Capital Partners (100)"). Advisors is the general partner of Capital Partners (100) and, in such capacity, may be deemed to be the beneficial owner of these securities and other securities held for the account of Capital Partners (100). Dr. Rachesky is the managing member of Advisors and, in such capacity, Dr. Rachesky may be deemed to be the beneficial owner of these securities and other securities held for the account of Capital Partners (100). |
3. These securities are held for the account of OTQ LLC, a Delaware limited liability company ("OTQ"). Dr. Rachesky is the managing member of OTQ and, in such capacity, Dr. Rachesky may be deemed to be the beneficial owner of these securities and other securities held for the account of OTQ. |
4. These securities are held for the account of the Jill & Mark Rachesky Charitable Foundation. |
5. These securities are held by Dr. Rachesky ACF Allison Rachesky. |
6. These securities are held by Dr. Rachesky ACF Samantha Rachesky. |
7. These securities are held by Dr. Rachesky ACF Steven Rachesky. |
8. These securities are held by Dr. Rachesky ACF Kate Rachesky. |
9. The filing of this statement shall not be deemed an admission that Dr. Rachesky is the beneficial owner of any securities not held directly for his account for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise. |
Remarks: |
/s/ Mark H. Rachesky Mark H. Rachesky, M.D. | 03/09/2005 | |
/s/ Hal Goldstein MHR CAPITAL PARTNERS LP By: MHR ADVISORS LLC, its General Partner Title: Vice President | 03/09/2005 | |
/s/ Hal Goldstein MHR CAPITAL PARTNERS (100) LP By: MHR ADVISORS LLC, its General Partner Title: Vice President | 03/09/2005 | |
/s/ Hal Goldstein OTQ LLC Title: Authorized Signatory | 03/09/2005 | |
/s/ Hal Goldstein MHR ADVISORS LLC Title: Vice President | 03/09/2005 | |
** 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. | ||
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. |