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SEC FORM 3 SEC Form 3
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
or Section 30(h) of the Investment Company Act of 1940 		 
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1. Name and Address of Reporting Person*
JACOB GARY S
(Last) (First) (Middle)
C/O SYNERGY PHARMACEUTICALS, INC.
420 LEXINGTON AVENUE, SUITE 1609
(Street)
NEW YORK NY 10170
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/23/2012 		3. Issuer Name and Ticker or Trading Symbol
TrovaGene Inc. [ TROV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 738,000 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Stock Options 03/21/2005 03/21/2015 Common Stock 50,000 1.25 D
Stock Options 10/07/2009 10/07/2019 Common Stock 300,000 0.5 D
Stock Options (1) 02/26/2020 Common Stock 50,000 0.6 D
Stock Options 02/26/2010 02/26/2020 Common Stock 5,000 0.6 D
Warrants 01/06/2011 12/31/2018 Common Stock 63,000 0.5 D
Explanation of Responses:
1. 16,667 options vest on each of 2/26/2011 and 2012 and 16,666 options vest on 2/26/2013.
/s/ Gary S. Jacob 01/23/2012
** 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.