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1.
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Names of Reporting Persons.
Robert J. Cooper
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2.
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Check the Appropriate Box if a
Member of a Group (See Instructions)
(a)
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(b)
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3.
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SEC Use Only
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4.
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Source of Funds (See
Instructions)
PF
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5.
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Check if Disclosure of Legal
Proceedings Is Required Pursuant to Items 2(d) or 2(e)
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Not Applicable
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6.
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Citizenship or Place of
Organization
United States of
America
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With
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7.
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Sole Voting Power
1,170,000
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8.
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Shared Voting Power
0
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9.
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Sole Dispositive Power
1,170,000
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10.
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Shared Dispositive Power
0
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11.
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Aggregate Amount Beneficially Owned by Each Reporting Person
1,170,000
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12.
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Check if the Aggregate Amount in
Row (11) Excludes Certain Shares (See Instructions)
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13.
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Percent of Class Represented by
Amount in Row (11)
5.6% of outstanding
common
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14.
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Type of Reporting Person (See
Instructions)
IN
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Item 1. Security and Issuer.
State the title of the class of equity securities to which this
statement relates and the name and address of the principal executive offices of the issuer of such securities.
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(a)
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The Title of the class of equity securities to which this statement is common stock.
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(b)
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The name and address of the principal executive office of the issuer is:
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PacificHealth Laboratories, Inc.
100 Matawan Road, Suite 150
Matawan, New Jersey 07747
Item 2. Identity and Background.
If the person filing this statement or any person enumerated in Instruction C of this statement is a
corporation, general partnership, limited partnership, syndicate or other group of persons, state its name, the state or other place of its organization, its principal business, the address of its principal office and the information required by
(d) and (e) of this Item. If the person filing this statement or any person enumerated in Instruction C is a natural person, provide the information specified in (a) through (f) of this Item with respect to such person(s).
Robert J. Cooper
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(b)
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Residence or business address;
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13679 Greentree Trail
Wellington, Florida 33414
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(c)
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Present principal occupation or employment and the name, principal business and address of any corporation or other organization in which such employment is conducted;
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Investor
(d) Whether or not, during the last five years, such person has been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors) and, if so, give the dates, nature of
conviction, name and location of court, any penalty imposed, or other disposition of the case;
(e) Whether or not, during the last five
years, such person was a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or
prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws; and, if so, identify and describe such proceedings and summarize the terms of such judgment, decree or final order;
and
(f) Citizenship.
United
States of America
Item 3. Source and Amount of Funds or Other Consideration.
State the source and the amount of
funds or other consideration used or to be used in making the purchases, and if any part of the purchase price is or will be represented by funds or other consideration borrowed or otherwise obtained for the purpose of acquiring, holding, trading or
voting the securities, a description of the transaction and the names of the parties thereto. Where material, such information should also be provided with respect to prior acquisitions not previously reported pursuant to this regulation. If the
source of all or any part of the funds is a loan made in the ordinary course of business by a bank, as defined in section 3(a)(6) of the Act, the name of the bank shall not be made available to the public if the person at the time of filing the
statement so requests in writing and files such request, naming such bank, with the Secretary of the Commission. If the securities were acquired other than by purchase, describe the method of acquisition.
Personal Funds
Item 4. Purpose of
Transaction.
State the purpose or purposes of the acquisition of securities of the issuer. Describe any plans or proposals which the reporting persons may have which relate to or would result in:
Investment purposes
(a) The acquisition by
any person of additional securities of the issuer, or the disposition of securities of the issuer;
(b) An extraordinary corporate
transaction, such as a merger, reorganization or liquidation, involving the issuer or any of its subsidiaries;
(c) A sale or transfer of a
material amount of assets of the issuer or any of its subsidiaries;
(d) Any change in the present board of directors or management of the
issuer, including any plans or proposals to change the number or term of directors or to fill any existing vacancies on the board;
(e) Any
material change in the present capitalization or dividend policy of the issuer;
(f) Any other material change in the issuers business
or corporate structure, including but not limited to, if the issuer is a registered closed-end investment company, any plans or proposals to make any changes in its investment policy for which a vote is required by section 13 of the Investment
Company Act of 1940;
(g) Changes in the issuers charter, bylaws or instruments corresponding thereto or other actions which may impede
the acquisition of control of the issuer by any person;
(h) Causing a class of securities of the issuer to be delisted from a national
securities exchange or to cease to be authorized to be quoted in an inter-dealer quotation system of a registered national securities association;
(i) A class of equity securities of the issuer becoming eligible for termination of registration pursuant to section 12(g)(4) of the Act; or
(j) Any action similar to any of those enumerated above.
Item 5. Interest in Securities
of the Issuer.
(a) State the aggregate number and percentage of the class of securities identified pursuant to Item 1 (which may be based on the number of securities outstanding as contained in the most recently available filing with
the Commission by the issuer unless the filing person has reason to believe such information is not current) beneficially owned (identifying those shares which there is a right to acquire) by the reporting person is 1,170,000 shares of common, or
5.6% of the voting rights in Item 2. The above mentioned information should also be furnished with respect to persons who, together with any of the persons named in Item 2, comprise a group within the meaning of section 13(d)(3) of the
Act;
(b) For each person named in response to paragraph (a), indicate the number of shares as to which there is
sole power to vote or to direct the vote, sole power to dispose or to direct the disposition, or shared power to dispose or to direct the disposition. Provide the applicable information required by Item 2 with respect to each person with whom
the power to vote or to direct the vote or to dispose or direct the disposition is shared;
(c) Describe any transactions in the class of
securities reported on that were effected during the past sixty days or since the most recent filing of Schedule 13D (§240.13d101), whichever is less, by the persons named in response to paragraph (a).
Instruction.
The description of a transaction required by Item 5(c) shall include, but not necessarily be limited to: (1) The identity
of the person covered by Item 5(c) who effected the transaction; (2) the date of transaction; (3) the amount of securities involved; (4) the price per share or unit; and (5) where and how the transaction was effected.
(d) If any other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the
sale of, such securities, a statement to that effect should be included in response to this item and, if such interest relates to more than five percent of the class, such person should be identified. A listing of the shareholders of an investment
company registered under the Investment Company Act of 1940 or the beneficiaries of an employee benefit plan, pension fund or endowment fund is not required.
(e) If applicable, state the date on which the reporting person ceased to be the beneficial owner of more than five percent of the class of securities.
Instruction.
For computations regarding securities which represent a right to acquire an underlying security, see Rule 13d3(d)(1) and the
note thereto.
Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer.
Describe
any contracts, arrangements, understandings or relationships (legal or otherwise) among the persons named in Item 2 and between such persons and any person with respect to any securities of the issuer, including but not limited to transfer or
voting of any of the securities, finders fees, joint ventures, loan or option arrangements, puts or calls, guarantees of profits, division of profits or loss, or the giving or withholding of proxies, naming the persons with whom such
contracts, arrangements, understandings or relationships have been entered into. Include such information for any of the securities that are pledged or otherwise subject to a contingency the occurrence of which would give another person voting power
or investment power over such securities except that disclosure of standard default and similar provisions contained in loan agreements need not be included.
None.
Item 7. Material to be Filed as Exhibits.
The following shall be filed as
exhibits: Copies of written agreements relating to the filing of joint acquisition statements as required by Rule 13d1(k) and copies of all written agreements, contracts, arrangements, understanding, plans or proposals relating to:
(1) The borrowing of funds to finance the acquisition as disclosed in Item 3; (2) the acquisition of issuer control, liquidation, sale of assets, merger, or change in business or corporate structure, or any other matter as disclosed
in Item 4; and (3) the transfer or voting of the securities, finders fees, joint ventures, options, puts, calls, guarantees of loans, guarantees against loss or of profit, or the giving or withholding of any proxy as disclosed in
Item 6.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
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Date: June 24, 2013
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By:
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Robert J. Cooper
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By:
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/s/ Robert J. Cooper
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Name:
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Robert J. Cooper
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Title:
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Investor
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