- Initial Statement of Beneficial Ownership (3)
28 Janvier 2011 - 5:23PM
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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OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
Estimated average burden
hours per response...
0.5
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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
*
Amici Associates L.P.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
1/26/2011
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3. Issuer Name
and
Ticker or Trading Symbol
MATRIXX INITIATIVES INC [MTXX]
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(Last)
(First)
(Middle)
C/O PORTER ORLIN LLC,, 666 FIFTH AVENUE, SUITE 3403
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
___
X
___ Other (specify below)
/ Member of Group Owning 10%
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(Street)
NEW YORK, NY 10103
(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, par value $0.001 per share
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21700
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D
(1)
(2)
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Common Stock, par value $0.001 per share
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31300
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D
(1)
(3)
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Common Stock, par value $0.001 per share
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47000
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D
(1)
(4)
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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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The entities identified in the footnotes of this Form 3, together with the entities and individuals identified in the Forms 4 filed by Porter Orlin LLC, among others, on January 10, 2010 and on the date hereof, may be deemed members of a group holding equity securities of the Issuer. The filing of this Form 3 and any statements included herein shall not be deemed to be an admission that such entities and individuals are members of such group.
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(
2)
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The amount of securities shown in this row is owned directly by Amici Associates, L.P.
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(
3)
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The amount of securities shown in this row is owned directly by Amici Qualified Associates, L.P.
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(
4)
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The amount of securities shown in this row is owned directly by Amici Fund International, Ltd.
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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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Amici Associates L.P.
C/O PORTER ORLIN LLC,
666 FIFTH AVENUE, SUITE 3403
NEW YORK, NY 10103
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X
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Member of Group Owning 10%
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Amici Qualified Associates, L.P.
C/O PORTER ORLIN LLC,
666 FIFTH AVENUE, SUITE 3403
NEW YORK, NY 10103
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X
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Member of Group Owning 10%
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Amici Fund International, Ltd.
C/O PORTER ORLIN LLC,
666 FIFTH AVENUE, SUITE 3403
NEW YORK, NY 10103
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X
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Member of Group Owning 10%
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Signatures
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/s/ A. Alex Porter and Paul E. Orlin, as authorized signers for Amici Associates, L.P.
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1/28/2011
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**
Signature of Reporting Person
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Date
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/s/ A. Alex Porter and Paul E. Orlin, as authorized signers for Amici Qualified Associates, L.P.
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1/28/2011
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**
Signature of Reporting Person
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Date
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/s/ A. Alex Porter and Paul E. Orlin, as authorized signers for Amici Fund International, Ltd.
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1/28/2011
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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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