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*
Clark B. Jefferson

(Last) (First) (Middle)
120 MOUNTAIN VIEW BOULEVARD

(Street)
BASKING RIDGE NJ 07920

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/21/2013
3. Issuer Name and Ticker or Trading Symbol
Regado Biosciences Inc [ RGDO ]
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, par value $0.001 per share 19,311 I See Footnote 1(1)
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
Series A Preferred Stock 11/19/2004 (3) Common Stock, par value $0.001 per share 145,411 (3) I See Footnote 1(1)
Series B Preferred Stock 07/27/2005 (4) Common Stock, par value $0.001 per share 87,325 (4) I See Footnote 1(1)
Series C Preferred Stock 03/15/2007 (5) Common Stock, par value $0.001 per share 133,067 (5) I See Footnote 1(1)
Series D Preferred Stock 12/17/2009 (6) Common Stock, par value $0.001 per share 249,500 (6) I See Footnote 2(2)
Series D Preferred Stock 05/25/2011 (6) Common Stock, par value $0.001 per share 72,473 (6) I See Footnote 2(2)
Series E Preferred Stock 12/18/2012 (7) Common Stock, par value $0.001 per share 43,171 (7) I See Footnote 2(2)
Series E Preferred Stock 03/22/2013 (7) Common Stock, par value $0.001 per share 5,191 (7) I See Footnote 2(2)
Stock Option (right to buy) (8) 04/30/2020 Common Stock, par value $0.001 per share 3,341 $4.51 I See Footnote 9(9)
Stock Option (right to buy) (8) 04/30/2020 Common Stock, par value $0.001 per share 5,447 $4.51 I See Footnote 10(10)
Stock Option (right to buy) (8) 12/08/2018 Common Stock, par value $0.001 per share 2,095 $11.69 I See Footnote 10(10)
Stock Option (right to buy) (8) 02/13/2018 Common Stock, par value $0.001 per share 2,095 $12.53 I See Footnote 10(10)
Stock Option (right to buy) (8) 02/21/2017 Common Stock, par value $0.001 per share 2,095 $10.86 I See Footnote 10(10)
Stock Option (right to buy) (8) 12/20/2015 Common Stock, par value $0.001 per share 2,095 $3.34 I See Footnote 10(10)
Warrant (right to buy) (11) 02/20/2014 Common Stock, par value $0.001 per share 4,491 $0.17 I See Footnote 1(1)
Explanation of Responses:
1. The reportable securities are directly held by Aurora Ventures IV, LLC ("Aurora IV"). The Reporting Person is the manager of A.V. Management IV, L.L.C., the managing member of Aurora IV, and may be deemed to share voting and investment power. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report is not an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
2. The reportable securities are directly held by Aurora Ventures V, L.P ("Aurora V"). The Reporting Person is the manager of A.V. Management V, L.L.C., the managing member of Aurora V, and may be deemed to share voting and investment power. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report is not an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
3. The shares of Series A Preferred Stock have no expiration date and shall automatically convert upon the consummation of the Issuer's initial public offering at a conversion ratio of 1 share of Series A Preferred Stock to 0.05988024 shares of common stock, for no additional consideration.
4. The shares of Series B Preferred Stock have no expiration date and shall automatically convert upon the consummation of the Issuer's initial public offering at a conversion ratio of 1 share of Series B Preferred Stock to 0.05988024 shares of common stock, for no additional consideration.
5. The shares of Series C Preferred Stock have no expiration date and shall automatically convert upon the consummation of the Issuer's initial public offering at a conversion ratio of 1 share of Series C Preferred Stock to 0.05988024 shares of common stock, for no additional consideration.
6. The shares of Series D Preferred Stock have no expiration date and shall automatically convert upon the consummation of the Issuer's initial public offering at a conversion ratio of 1 share of Series D Preferred Stock to 0.05988024 shares of common stock, for no additional consideration.
7. The shares of Series E Preferred Stock have no expiration date and shall automatically convert upon the consummation of the Issuer's initial public offering at a conversion ratio of 1 share of Series E Preferred Stock to 0.05988024 shares of common stock, for no additional consideration.
8. This option is fully vested and exercisable.
9. The Reporting Person holds the reportable securities as nominee for Aurora V. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report is not an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
10. The Reporting Person holds the reportable securities as nominee for Aurora IV. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report is not an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
11. This warrant is currently exercisable.
Remarks:
/s/ B. Jefferson Clark 08/21/2013
** 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).
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