Private Placement Stock Purchase Agreement between Mediscience Technology Corp. and Accredited Investors (January 18, 2005)

Summary

This agreement is between Mediscience Technology Corp. and accredited investors for the private purchase of company stock. The agreement, dated January 18, 2005, outlines the sale of securities under Regulation D, Rule 506, with the closing set for August 15, 2005. Mediscience Technology Corp. develops photonic imaging systems for medical screening. The document includes required disclosures for SEC compliance and lists key company officers and directors involved in the transaction.

EX-10.1 2 ex10-1.txt EXHIBITS 10.1 REG D Closing August 15, 2005-- Private Placement Stock Purchase Agreement between accredited investors and Registrant, dated as of January 18, 2005 closing by its terms August 15, 2005 SEC 1972 Potential persons who are to respond to the collection of information contained in this form (6-02) are not required to respond unless the form displays a currently valid OMB control number. - -------------------------------------------------------------------------------- ATTENTION Failure to file notice in the appropriate states will not result in a loss of the federal exemption. Conversely, failure to file the appropriate federal notice will not result in a loss of an available state exemption state exemption unless such exemption is predicated on the filing of a federal notice. - -------------------------------------------------------------------------------- OMB APPROVAL OMB Number: 3235-0076 Expires: May 31, 2005 Estimated average burden hours per response... 1 ------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D ------------------------ SEC USE ONLY ------------------------ Prefix | | Serial ------------------------ DATE RECEIVED ------------------------ NOTICE OF SALE OF SECURITIES PURSUANT TO REGULATION D, SECTION 4(6), AND/OR UNIFORM LIMITED OFFERING EXEMPTION - -------------------------------------------------------------------------------- Name of Offering ([ ] check if this is an amendment and name has changed, and indicate change.) - -------------------------------------------------------------------------------- Filing Under (Check box(es) that apply) [_] Rule 504 [_] Rule 505 [X] Rule 506 [_] Section 4(6) [_] ULOE : Type of Filing: [X] New Filing [_] Amendment - -------------------------------------------------------------------------------- A. BASIC IDENTIFICATION DATA - -------------------------------------------------------------------------------- 1. Enter the information requested about the issuer - -------------------------------------------------------------------------------- Name of Issuer ([ ] check if this is an amendment and name has changed, and indiciate change.) Mediscience Technology Corp. - -------------------------------------------------------------------------------- Address of Executive Offices 1235 Folkstone Way, Cherry Hill, NJ 08034 Telephone Number (Including Area Code) (856) 428-7952 and ###-###-#### - -------------------------------------------------------------------------------- Address of Principal Business Operations 1235 Folkstone Way, Cherry Hill, NJ 0803 Telephone Number (Including Area Code) (856) 428-7952 and (215- 485-0362 different from Executive Offices) - -------------------------------------------------------------------------------- Brief Description of Business: Develops (and plans to market after FDA approval) rapid, non-invasive, point-of-care photonic imaging systems used in screening for and detecting precancerous and cancerous tissue and physiological changes in gynecological and breast tissue. - -------------------------------------------------------------------------------- Type of Business Organization [X] corporation [_] limited partnership, already formed [_] business trust [_] limited partnership, to be formed [_] other (please specify): - -------------------------------------------------------------------------------- Month Year Actual or Estimated Date of Incorporation or Organization: [0]3] [7]1] [X] Actual [_] Estimated Jurisdiction of Incorporation or Organization: (Enter two-letter U.S. Postal Service abbreviation for State: CN for Canada;FN for other foreign jurisdiction) [ N ] [ J ] - -------------------------------------------------------------------------------- GENERAL INSTRUCTIONS Federal: Who Must File: All issuers making an offering of securities in reliance on an exemption under Regulation D or Section 4(6), 17 CFR 230.501 et seq. or 15 ------------ U.S.C. 77d(6). When to File: A notice must be filed no later than 15 days after the first sale of securities in the offering. A notice is deemed filed with the U.S. Securities and Exchange Commission (SEC) on the earlier of the date it is received by the SEC at the address given below or, if received at that address after the date on which it is due, on the date it was mailed by United States registered or certified mail to that address. Where to File: U.S. Securities and Exchange Commission, 450 Fifth Street, N.W., Washington, D.C. 20549. Copies Required: Five (5) copies of this notice must be filed with the SEC, one --------------- of which must be manually signed. Any copies not manually signed must be photocopies of manually signed copy or bear typed or printed signatures. Information Required: A new filing must contain all information requested. Amendments need only report the name of the issuer and offering, any changes thereto, the information requested in Part C, and any material changes from the information previously supplied in Parts A and B. Part E and the Appendix need not be filed with the SEC. Filing Fee: There is no federal filing fee. State: This notice shall be used to indicate reliance on the Uniform Limited Offering Exemption (ULOE) for sales of securities in those states that have adopted ULOE and that have adopted this form. Issuers relying on ULOE must file a separate notice with the Securities Administrator in each state where sales are to be, or have been made. If a state requires the payment of a fee as a precondition to the claim for the exemption, a fee in the proper amount shall accompany this form. This notice shall be filed in the appropriate states in accordance with state law. The Appendix in the notice constitutes a part of this notice and must be completed. - -------------------------------------------------------------------------------- A. BASIC IDENTIFICATION DATA - -------------------------------------------------------------------------------- 2. Enter the information requested for the following: o Each promoter of the issuer, if the issuer has been organized within the past five years; o Each beneficial owner having the power to vote or dispose, or direct the vote or disposition of, 10% or more of a class of equity securities of the issuer; o Each executive officer and director of corporate issuers and of corporate general and managing partners of partnership issuers; and o Each general and managing partner of partnership issuers. - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [X] Beneficial [X] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Katevatis, Peter - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) 1235 Folkstone Way, Cherry Hill, NJ 0803 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [_] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Kennedy, John M. - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) c/o Pepco Mfg. Co., 100 110 East Evergreen Ave, Summerdale, NJ 08083 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [_] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Armstrong, William W. - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) P.O. Box 607, Tupper Lake, NY 2986 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [_] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Kouvatas, Michael - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) 27 Kings Highway, East Haddonfield, NJ 08033 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [_] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Braginsky, Sidney - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) 604 overlook drive, 6 Stoney Court, Drive, Dix Hills NY, 11746 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [_] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Matheu, John - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) 215 Longhill Drive PO Box 326, Short Hills NJ 07078 - -------------------------------------------------------------------------------- Check Box(es) that [_] Promoter [_] Beneficial [X] Executive [X] Director Apply: Owner Officer [_] General and/or Managing Partner - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) Engelhart, Michael - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) 161 North Franklin Turnpike, Ramsey New Jersey, 07446 - -------------------------------------------------------------------------------- (Use blank sheet, or copy and use additional copies of this sheet, as necessary.) - -------------------------------------------------------------------------------- B. INFORMATION ABOUT OFFERING - -------------------------------------------------------------------------------- Yes No 1. Has the issuer sold, or does the issuer intend to sell, to non-accredited investors in this offering?................ [_] [X] Answer also in Appendix, Column 2, if filing under ULOE. 2. What is the minimum investment that will be accepted from any individual?............................................. $25,000 Yes No 3. Does the offering permit joint ownership of a single unit?....................................................... [_] [X] 4. Enter the information requested for each person who has been or will be paid or given, directly or indirectly, any commission or similar remuneration for solicitation of purchasers in connection with sales of securities in the offering. If a person to be listed is an associated person or agent of a broker or dealer registered with the SEC and/or with a state or states, list the name of the broker or dealer. If more than five (5) persons to be listed are associated persons of such a broker or dealer, you may set forth the information for that broker or dealer only. - -------------------------------------------------------------------------------- Full Name (Last name first, if individual) None/not applicable - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) - -------------------------------------------------------------------------------- Name of Associated Broker or Dealer - --------------------------------------------------------------------------------

- -------------------------------------------------------------------------------- Full Name (Last name first, if individual) - -------------------------------------------------------------------------------- Business or Residence Address (Number and Street, City, State, Zip Code) - -------------------------------------------------------------------------------- Name of Associated Broker or Dealer - --------------------------------------------------------------------------------

- -------------------------------------------------------------------------------- (Use blank sheet, or copy and use additional copies of this sheet, as necessary.) - -------------------------------------------------------------------------------- C. OFFERING PRICE, NUMBER OF INVESTORS, EXPENSES AND USE OF PROCEEDS - -------------------------------------------------------------------------------- 1. Enter the aggregate offering price of securities included in this offering and the total amount already sold. Enter "0" if answer is "none" or "zero." If the transaction is an exchange offering, check this box [_] and indicate in the columns below the amounts of the securities offered for exchange and already exchanged. - -------------------------------------------------------------------------------- Aggregate Amount Already Type of Security Offering Price Sold Debt None......................................... $____________ $____________ Equity Convertible Preferred Stock................ $ 4,000,000 $ 1,525,000 [_] Common [X] Preferred Convertible Securities (including warrants)....... $____________ $____________ Partnership Interests............................. $____________ $____________ Other (Specify____________________________________)$____________ $____________ Total..................................... $ 4,000,000 $ 1,525,000 Answer also in Appendix, Column 3, if filing under ULOE. 2. Enter the number of accredited and non-accredited investors who have purchased securities in this offering and the aggregate dollar amounts of their purchases. For offerings under Rule 504, indicate the number of persons who have purchased securities and the aggregate dollar amount of their purchases on the total lines. Enter "0" if answer is "none" or "zero." Aggregate Number Dollar Amount Investors of Purchases Accredited Investors ................................ 30 $1,525,000 Non-accredited Investors ............................ 0 $ 0 Total (for filings under Rule 504 only) ........... __________ $ ________ Answer also in Appendix, Column 4, if filing under ULOE 3. If this filing is for an offering under Rule 504 or 505, enter the --- --- information requested for all securities sold by the issuer, to date, in offerings of the types indicated, the twelve (12) months prior to the first sale of securities in this offering. Classify securities by type listed in Part C-Question 1. Type of Security Dollar Amount Type of offering Sold Rule 505 ...................................... ______________ $____________ Regulation A .................................. ______________ $____________ - ------------ Rule 504 ...................................... ______________ $____________ Total ....................................... ______________ $____________ 4. a. Furnish a statement of all expenses in connection with the issuance and distribution of the securities in this offering. Exclude amounts relating solely to organization expenses of the issuer. The information may be given as subject to future contingencies. If the amount of an expenditure is not known, furnish an estimate and check the box to the left of the estimate. Transfer Agent's Fees .............................. [_] $ 2,000 Printing and Engraving Costs ....................... [_] $ 1,000 Legal Fees ......................................... [_] $70,000 Accounting Fees .................................... [_] $ 2,000 Engineering Fees ................................... [_] $____________ Sales Commissions (specify finders' fees separately) [_] $____________ Other Expenses (identify) .......................... [_] $____________ Total .......................................... [_] $ ? b. Enter the difference between the aggregate offering price given in response to Part C - Question 1 and total expenses furnished in response to Part C - Question 4.a. This difference is the "adjusted gross proceeds to the issuer." ............ $ 1,400,000 5. Indicate below the amount of the adjusted gross proceeds to the issuer used or proposed to be used for each of the purposes shown. If the amount for any purpose is not known, furnish an estimate and check the box to the left of the estimate. The total of the payments listed must equal the adjusted gross proceeds to the issuer set forth in response to Part C - Question 4.b above.

- -------------------------------------------------------------------------------- D. FEDERAL SIGNATURE - -------------------------------------------------------------------------------- The issuer has duly caused this notice to be signed by the undersigned duly authorized person. If this notice is filed under Rule 505, the following -------- signature constitutes an undertaking by the issuer to furnish to the U.S. Securities and Exchange Commission, upon written request of its staff, the information furnished by the issuer to any non-accredited investor pursuant to paragraph (b)(2) of Rule 502. -------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- Issuer (Print or Type) Signature Date Mediscience Technology Corp. Peter Katevatis August 16, 2005 - -------------------------------------------------------------------------------- Name of Signer (Print or Type) Title of Signer (Print or Type) Peter Katevatis Esquire Chief Executive Officer and Independent Counsel - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- ATTENTION - -------------------------------------------------------------------------------- Intentional misstatements or omissions of fact constitute federal criminal violations. (See 18 U.S.C. 1001.) - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- E. STATE SIGNATURE - -------------------------------------------------------------------------------- Yes No 1. Is any party described in 17 CFR 230.262 presently subject to any of the disqualification provisions of such rule?............... [_] [_] See Appendix, Column 5, for state response. 2. The undersigned issuer hereby undertakes to furnish to any state administrator of any state in which this notice is filed, a notice on Form D (17 CFR 239,500) at such times as required by state law. 3. The undersigned issuer hereby undertakes to furnish to the state administrators, upon written request, information furnished by the issuer to offerees. 4. The undersigned issuer represents that the issuer is familiar with the conditions that must be satisfied to be entitled to the Uniform limited Offering Exemption (ULOE) of the state in which this notice is filed and understands that the issuer claiming the availability of this exemption has the burden of establishing that these conditions have been satisfied. The issuer has read this notification and knows the contents to be true and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person. - -------------------------------------------------------------------------------- Issuer (Print or Type) Signature Date - -------------------------------------------------------------------------------- Name of Signer (Print or Type) Title (Print or Type) - -------------------------------------------------------------------------------- Instruction: Print the name and title of the signing representative under his signature for the state portion of this form. One copy of every notice on Form D must be manually signed. Any copies not manually signed must be photocopies of the manually signed copy or bear typed or printed signatures. - -------------------------------------------------------------------------------- APPENDIX - --------------------------------------------------------------------------------

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