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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Demopulos Gregory A MD

(Last) (First) (Middle)
1420 FIFTH AVENUE, SUITE 2600

(Street)
SEATTLE WA 98101-2347

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/07/2009
3. Issuer Name and Ticker or Trading Symbol
OMEROS CORP [ OMER ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
See General Remarks
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 1,475,280 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
Employee Stock Option (right to buy) (1) 12/10/2011 Common Stock 1,542 $0.52 D
Employee Stock Option (right to buy) (2) 12/12/2016 Common Stock 612,244 $0.98 D
Employee Stock Option (right to buy) (2) 12/12/2016 Common Stock 408,163 $0.98 D
Employee Stock Options (right to buy) (3) 12/30/2017 Common Stock 102,040 $2.45 D
Explanation of Responses:
1. The option, representing the right to purchase a total of 47,511 shares, became fully exercisable on December 11, 2001, the date of grant.
2. The option is exercisable in 48 equal monthly installments. The first installment became exercisable on March 28, 2005 and subsequent installments became exercisable on each monthly anniversary thereafter.
3. The option became exercisable as to 25,510 shares on December 30, 2008, and thereafter becomes exercisable each monthly anniversary thereafter at the rate of 1/48 of the total shares.
Remarks:
President, Chief Executive Officer, Chief Medical Officer, Chairman of the Board
/s/ Alex F. Sutter, attorney-in-fact on behalf of Gregory A. Demopulos 10/07/2009
** 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.