------------------------------------- OMB APPROVAL ------------ OMB Number: 3235-0362 Expires: Pending Estimated average burden Hours per response 1.0 ------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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(f) of the Investment Company Act of 1940 [_] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). [_] Form 3 Holdings Reported [X] Form 4 Transactions Reported (Print or Type Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Wakoff Harlan J. -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o Genta Incorporated Two Connell Drive -------------------------------------------------------------------------------- (Street) Berkeley Heights NJ 07922 -------------------------------------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Genta Incorporated (Nasdaq: GNTA) -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Year December 31, 2001 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Day/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [_] 10% Owner [_] Officer (give title below) [_] Other (specify below) -------------------------------------------------------------------------------- 7. 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 Acquired, Disposed of, or Beneficially Owned ================================================================================ 5. 6. 4. Amount of Owner- Securities Acquired (A) or Securities ship Disposed of (D) Beneficially Form 7. 3. (Instr. 3, 4 and 5) Owned at End Direct Nature of 2. Transaction ----------------------------- of Issuer's (D) or Indirect 1. Transaction Code (A) Fiscal Year Indirect Beneficial Title of Security Date (Instr. 8) Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (Month/Day/Year) Code V (D) and 4) (Instr.4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.001 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ==================================================================================================================================== 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). FORM 5 (continued) POTENTIAL PERSONS WHO ARE TO 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. SEC1474(3-99) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ==================================================================================================================================== 9. 10. Number Owner- of ship 2. Deriv- form of Conver- 4. 5. 7. ative Deriv- 11. sion Trans- Number of Title and Amount Bene- ative Nature or action Derivative 6. of Underlying 8. ficially Secur- of Exer- Code Securities Date Securities Price Owned ity: In- cise 3. (Instr. Acquired (A) Exercisable and (Instr. 3 and 4) of at End Direct direct Price Trans- 8) or Disposed Expiration Date ---------------- Deriv- of (D) or Bene- 1. of action -------- of (D) (Month/Day/Year) Amount ative Issuer's In- ficial Title of Deriv- Date C (Instr. 3, ---------------- of Secur- Fiscal direct Owner- Derivative ative (Month/ o 4 and 5) Date Expira- Number ity Year (I) ship Security Secur- Day/ d ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) e V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ Options to acquire $8.656 5/9/00 A5 5/9/01 5/9/10 Common 50,000 Common Stock Stock, par value (2) $.001 ------------------------------------------------------------------------------------------------------------------------------------ Options to acquire $13.16 6/14/01 A 6/14/01 6/14/11 Common 6,667 Common Stock Stock, par value (2) $.001 ------------------------------------------------------------------------------------------------------------------------------------ Options to acquire $8.57 9/21/01 A 9/21/01 9/21/11 Common 6,667 Common Stock Stock, par value (2) $.001 ------------------------------------------------------------------------------------------------------------------------------------ Options to acquire $14.15 12/13/01 A 12/13/01 12/13/11 Common 6,666 195,000 D Common Stock Stock, par value (2) $.001 ==================================================================================================================================== Explanation of Responses (1) These options were granted upon attendance to Genta Incorporated Board of Directors meetings. These options are fully vested. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) /s/ Harlan J. Wakoff February 13, 2002 --------------------------------------------- ----------------------- **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB NUMBER.