FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ACUCELA INC. [ NONE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/10/2014 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/10/2014 | C | 374,817 | A | (2)(4) | 374,817(1) | I(3) | By SBI Incubation Co., Ltd.(3) | ||
Common Stock | 02/10/2014 | C | 1,111,111 | A | (4) | 1,485,928(1) | I(5) | By Softbank Internet Fund(5) | ||
Common Stock | 02/10/2014 | C | 69,628 | A | (4) | 1,555,556(1) | I(6) | By Trans-Science No. 2A Investment Limited Partnership(6) | ||
Common Stock | 02/10/2014 | C | 1,777,778 | A | (4) | 3,333,334(1) | I(7) | By BIOVISION Life Science Fund No.1(7) | ||
Common Stock | 02/10/2014 | C | 1,257,252 | A | (8)(14) | 4,590,586(1) | I(9) | By SBI BB Media Investment Limited Partnership(9) | ||
Common Stock | 02/10/2014 | C | 1,871,250 | A | (8)(15) | 6,461,836(1) | I(10) | By SBI Bio Life Science Investment LPS(10) | ||
Common Stock | 02/10/2014 | C | 258,582 | A | (8)(16) | 6,720,418(1) | I(11) | By SBI BB Mobile Investment LPS(11) | ||
Common Stock | 02/10/2014 | C | 252,505 | A | (8)(17) | 6,972,923(1) | I(12) | By SBI Phoenix No. 1 Investment LPS(12) | ||
Common Stock | 02/10/2014 | C | 779,502 | A | (8)(18) | 7,752,425(1) | I(13) | By SBI Broadband Fund No. 1 Limited Partnership(13) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (2) | 02/10/2014 | C | 666,667 | 10/06/2003 | (2) | Common Stock | 222,222 | $0 | 0 | I(3) | By SBI Incubation Co., Ltd.(3) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 457,784 | 08/31/2004 | (4) | Common Stock | 152,595 | $0 | 0 | I(3) | By SBI Incubation Co., Ltd.(3) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 666,667 | 09/30/2004 | (4) | Common Stock | 222,222 | $0 | 0 | I(5) | By Softbank Internet Fund(5) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 2,666,667 | 12/24/2004 | (4) | Common Stock | 888,889 | $0 | 0 | I(5) | By Softbank Internet Fund(5) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 208,883 | 08/31/2004 | (4) | Common Stock | 69,628 | $0 | 0 | I(6) | By Trans-Science No. 2A Investment Limited Partnership(6) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 4,000,000 | 09/30/2004 | (4) | Common Stock | 1,333,334 | $0 | 0 | I(7) | By BIOVISION Life Science Fund No.1(7) | |||
Series B Preferred Stock | (4) | 02/10/2014 | C | 1,333,333 | 12/24/2004 | (4) | Common Stock | 444,444 | $0 | 0 | I(7) | By BIOVISION Life Science Fund No.1(7) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 362,669 | 11/28/2006 | (8) | Common Stock | 120,890 | $0 | 0 | I(9) | By SBI BB Media Investment Limited Partnership(9) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 454,545 | 03/06/2009 | (8) | Common Stock | 151,515 | $0 | 0 | I(9) | By SBI BB Media Investment Limited Partnership(9) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 613,748 | 11/28/2006 | (8) | Common Stock | 204,583 | $0 | 0 | I(10) | By SBI Bio Life Science Investment LPS(10) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 157,117 | 08/29/2011 | (8) | Common Stock | 52,372 | $0 | 0 | I(11) | By SBI BB Mobile Investment LPS(11) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 50,594 | 03/29/2012 | (8) | Common Stock | 16,865 | $0 | 0 | I(11) | By SBI BB Mobile Investment LPS(11) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 153,425 | 08/29/2011 | (8) | Common Stock | 51,142 | $0 | 0 | I(12) | By SBI Phoenix No. 1 Investment LPS(12) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 49,406 | 03/29/2012 | (8) | Common Stock | 16,468 | $0 | 0 | I(12) | By SBI Phoenix No. 1 Investment LPS(12) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 224,855 | 11/28/2006 | (8) | Common Stock | 74,951 | $0 | 0 | I(13) | By SBI Broadband Fund No. 1 Limited Partnership(13) | |||
Series C Preferred Stock | (8) | 02/10/2014 | C | 281,818 | 03/06/2009 | (8) | Common Stock | 93,940 | $0 | 0 | I(13) | By SBI Broadband Fund No. 1 Limited Partnership(13) | |||
$3,249,994.00 Fourth Amended and Restated Promissory Note | (14) | 02/10/2014 | C | $3,249,994 | (14) | (14) | Common Stock | 984,847 | $0 | 0 | I(9) | By SBI BB Media Investment Limited Partnership(9) | |||
$5,500,000.00 Amended and Restated Promissory Note | (15) | 02/10/2014 | C | $5,500,000 | (15) | (15) | Common Stock | 1,666,667 | $0 | 0 | I(10) | By SBI Bio Life Science Investment LPS(10) | |||
$624,838.50 Amended and Restated Promissory Note | (16) | 02/10/2014 | C | $624,838.5 | (16) | (16) | Common Stock | 189,345 | $0 | 0 | I(11) | By SBI BB Mobile Investment LPS(11) | |||
$610,153.50 Amended and Restated Promissory Note | (17) | 02/10/2014 | C | $610,153.5 | (17) | (17) | Common Stock | 184,895 | $0 | 0 | I(12) | By SBI Phoenix No. 1 Investment LPS(12) | |||
$2,015,014.10 Fourth Amended and Restated Promissory Note | (18) | 02/10/2014 | C | $2,015,014.1 | (18) | (18) | Common Stock | 610,611 | $0 | 0 | I(13) | By SBI Broadband Fund No. 1 Limited Partnership(13) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. This Form 4 is being filed jointly by SBI Holdings, Inc., SBI Capital Management Co., Ltd. and SBI Investment Co., Ltd. Each Reporting Person disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purpose of Section 16 or any other purpose. |
2. The Series A Preferred Stock converted into Acucela Inc. Common Stock on a three-for-one basis and had no expiration date. |
3. These shares are held directly by SBI Incubation Co., Ltd., which is an indirect wholly-owned subsidiary of SBI Holdings, Inc. SBI Holdings, Inc. may be deemed to be the indirect beneficial owner of these securities. |
4. The Series B Preferred Stock converted into Acucela Inc. Common Stock on a three-for-one basis and had no expiration date. |
5. These shares are held directly by Softbank Internet Fund. Soft Trend Capital Corp., which is a subsidiary of SBI Holdings, Inc., is the sole general partner of Softbank Internet Fund. Soft Trend Capital Corp. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
6. These shares are held directly by Trans-Science No. 2A Investment Limited Partnership. SBI Transscience Co., Ltd., which is a subsidiary of SBI Holdings, Inc., is the sole general partner of Trans-Science No. 2A Investment Limited Partnership. SBI Transscience Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
7. These shares are held directly by BIOVISION Life Science Fund No.1. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of BIOVISION Life Science Fund No.1. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
8. The Series C Preferred Stock converted into Acucela Inc. Common Stock on a three-for-one basis and had no expiration date. |
9. These shares are held directly by SBI BB Media Investment Limited Partnership. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of SBI BB Media Investment Limited Partnership. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
10. These shares are held directly by SBI Bio Life Science Investment LPS. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of SBI Bio Life Science Investment LPS. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
11. These shares are held directly by SBI BB Mobile Investment LPS. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of SBI BB Mobile Investment LPS. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
12. These shares are held directly by SBI Phoenix No. 1 Investment LPS. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of SBI Phoenix No. 1 Investment LPS. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
13. These shares are held directly by SBI Broadband Fund No. 1 Limited Partnership. SBI Investment Co., Ltd., which is a wholly-owned subsidiary of SBI Capital Management Co., Ltd., which in turn is a wholly-owned subsidiary of SBI Holdings, Inc., is the sole general partner of SBI Broadband Fund No. 1 Limited Partnership. SBI Investment Co., Ltd., SBI Capital Management Co., Ltd. and SBI Holdings, Inc. may be deemed to be the indirect beneficial owners of these securities. |
14. The Fourth Amended and Restated Promissory Note was originally issued May 29, 2006 and has a maturity date of June 20, 2014. The note automatically converts into 984,847 shares of Common Stock upon the closing of the sale of Acucela Inc. Common Stock in a firm commitment, underwritten public offering in which certain conditions are met relating to the number of shares issued and the price at which shares are issued. |
15. The Amended and Restated Promissory Note was originally issued May 29, 2006 and has a maturity date of February 28, 2014. The note automatically converts into 1,666,667 shares of Common Stock upon the closing of the sale of Acucela Inc. Common Stock in a firm commitment, underwritten public offering in which certain conditions are met relating to the number of shares issued and the price at which shares are issued. |
16. The Amended and Restated Promissory Note was originally issued May 29, 2006 and has a maturity date of August 31, 2014. The note automatically converts into 189,345 shares of Common Stock upon the closing of the sale of Acucela Inc. Common Stock in a firm commitment, underwritten public offering in which certain conditions are met relating to the number of shares issued and the price at which shares are issued. |
17. The Amended and Restated Promissory Note was originally issued May 29, 2006 and has a maturity date of August 31, 2014. The note automatically converts into 184,895 shares of Common Stock upon the closing of the sale of Acucela Inc. Common Stock in a firm commitment, underwritten public offering in which certain conditions are met relating to the number of shares issued and the price at which shares are issued. |
18. The Fourth Amended and Restated Promissory Note was originally issued May 29, 2006 and has a maturity date of August 31, 2014. The note automatically converts into 610,611 shares of Common Stock upon the closing of the sale of Acucela Inc. Common Stock in a firm commitment, underwritten public offering in which certain conditions are met relating to the number of shares issued and the price at which shares are issued. |
Remarks: |
/s/ Yoshitaka Kitao, Authorized Person, SBI Holdings, Inc. | 02/12/2014 | |
/s/ Takashi Nakagawa, Authorized Person, SBI Capital, Management Co., Ltd. | 02/12/2014 | |
/s/ Takashi Nakagawa, Authorized Person, SBI Investment Co., Ltd. | 02/12/2014 | |
** 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 4 (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. |