SC 13G 1 d873184dsc13g.htm SC 13G SC 13G

OMB APPROVAL

OMB Number: 3235-0145
Expires: February 28, 2010
Estimated average burden
hours per response 10.4

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(AMENDMENT NO     )*

 

 

Xenon Pharmaceuticals, Inc.

(Name of Issuer)

Common Stock

(Title of Class of Securities)

98420N105

(CUSIP Number)

December 31, 2014

(Date of Event which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

 

Page 1 of 15 Pages


Cusip No. 98420N105 13G Page 2 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

InterWest Partners VII, LP

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

California

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

767,187

6

SHARED VOTING POWER

 

0

7

SOLE DISPOSITIVE POWER

 

767,187

8

SHARED DISPOSITIVE POWER

 

0

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

767,187

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.4%

12

TYPE OF REPORTING PERSON

 

PN

 

 

Page 2 of 15 Pages


Cusip No. 98420N105 13G Page 3 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

InterWest Investors VII, LP

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

California

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

36,738

6

SHARED VOTING POWER

 

0

7

SOLE DISPOSITIVE POWER

 

36,738

8

SHARED DISPOSITIVE POWER

 

0

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

36,738

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

0.3%

12

TYPE OF REPORTING PERSON

 

PN

 

 

Page 3 of 15 Pages


Cusip No. 98420N105 13G Page 4 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

InterWest Management Partners VII, LLC (the General Partner of InterWest Partners VII, LP and InterWest Investors VII, LP)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

California

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

803,925

6

SHARED VOTING POWER

 

0

7

SOLE DISPOSITIVE POWER

 

803,925

8

SHARED DISPOSITIVE POWER

 

0

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

OO

 

 

Page 4 of 15 Pages


Cusip No. 98420N105 13G Page 5 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

Harvey B. Cash (a Managing Director of InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

0

6

SHARED VOTING POWER

 

803,925

7

SOLE DISPOSITIVE POWER

 

0

8

SHARED DISPOSITIVE POWER

 

803,925

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Harvey B. Cash that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.

 

Page 5 of 15 Pages


Cusip No. 98420N105 13G Page 6 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

Philip T. Gianos (a Managing Director of InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

0

6

SHARED VOTING POWER

 

803,925

7

SOLE DISPOSITIVE POWER

 

0

8

SHARED DISPOSITIVE POWER

 

803,925

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Philip T. Gianos that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.

 

Page 6 of 15 Pages


Cusip No. 98420N105 13G Page 7 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

W. Stephen Holmes III (a Managing Director of InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

0

6

SHARED VOTING POWER

 

803,925

7

SOLE DISPOSITIVE POWER

 

0

8

SHARED DISPOSITIVE POWER

 

803,925

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by W. Stephen Holmes III that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.

 

Page 7 of 15 Pages


Cusip No. 98420N105 13G Page 8 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

Nina S. Kjellson (Agent for InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

714 (1)

6

SHARED VOTING POWER

 

803,925 (2)

7

SOLE DISPOSITIVE POWER

 

714 (1)

8

SHARED DISPOSITIVE POWER

 

803,925 (2)

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

804,639

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

 

(1) Options exercisable within 60 days of 12/31/14 received while a Director of the Issuer
(2) Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Nina S. Kjellson that she is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of her pecuniary interest.

 

Page 8 of 15 Pages


Cusip No. 98420N105 13G Page 9 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

Gilbert H. Kliman (a Managing Director of InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

0

6

SHARED VOTING POWER

 

803,925

7

SOLE DISPOSITIVE POWER

 

0

8

SHARED DISPOSITIVE POWER

 

803,925

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Gilbert H. Kliman that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.

 

Page 9 of 15 Pages


Cusip No. 98420N105 13G Page 10 of 15 Pages

 

  1 

NAME OF REPORTING PERSONS

 

Arnold L. Oronsky (a Managing Director of InterWest Management Partners VII, LLC)

 

I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY)

  2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3

SEC USE ONLY

 

  4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

REPORTING

PERSON

WITH

5 

SOLE VOTING POWER

 

0

6

SHARED VOTING POWER

 

803,925

7

SOLE DISPOSITIVE POWER

 

0

8

SHARED DISPOSITIVE POWER

 

803,925

  9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

803,925

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:  ¨

 

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

5.7%

12

TYPE OF REPORTING PERSON

 

IN

Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Arnold L. Oronsky that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.

 

Page 10 of 15 Pages


ITEM 1.

 

(a) NAME OF ISSUER : Xenon Pharmaceuticals, Inc.

 

(b) ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICE :

200–3650 Gilmore Way, Burnaby, British Columbia, Canada V5G 4W8

ITEM 2.

 

(a) NAME OF PERSON(S) FILING:

InterWest Partners VII, LP (“IWP VII”)

InterWest Investors VII, LP (“II VII”)

InterWest Management Partners VII, LLC (“IMP VII”)

Harvey B. Cash (“Cash”)

Philip T. Gianos (“Gianos”)

W. Stephen Holmes III (“Holmes”)

Nina S. Kjellson (“Kjellson”)

Gilbert H. Kliman (“Kliman”)

Arnold L. Oronsky (“Oronsky”)

 

(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE :

2710 Sand Hill Road, Suite 200, Menlo Park, CA 94025

 

(c) CITIZENSHIP/PLACE OF ORGANIZATION:

 

IWP VII:

California

II VII:

California

IMP VII:

California

Cash:

United States

Gianos:

United States

Holmes:

United States

Kjellson:

United States

Kliman:

United States

Oronsky:

United States

 

Page 11 of 15 Pages


(d) TITLE OF CLASS OF SECURITIES: Common Stock

 

(e) CUSIP NUMBER: 98420N105

ITEM 3. NOT APPLICABLE.

ITEM 4. OWNERSHIP.

 

     IWP VII     II VII     IMP VII (1)  

Beneficial Ownership

     767,187        36,738        803,925   

Percentage of Class

     5.4     0.3     5.7

Sole Voting Power

     767,187        36,738        803,925   

Shared Voting Power

     0        0        0   

Sole Dispositive Power

     767,187        36,738        803,925   

Shared Dispositive Power

     0        0        0   

 

     Cash (2)     Gianos (2)     Holmes (2)  

Beneficial Ownership

     803,925        803,925        803,925   

Percentage of Class

     5.7     5.7     5.7

Sole Voting Power

     0        0        0   

Shared Voting Power

     803,925        803,925        803,925   

Sole Dispositive Power

     0        0        0   

Shared Dispositive Power

     803,925        803,925        803,925   

 

     Kjellson (3)     Kliman (2)     Oronsky (2)  

Beneficial Ownership

     804,639        803,925        803,925   

Percentage of Class

     5.7     5.7     5.7

Sole Voting Power

     714        0        0   

Shared Voting Power

     803,925        803,925        803,925   

Sole Dispositive Power

     714        0        0   

Shared Dispositive Power

     803,925        803,925        803,925   

 

(1) IMP VII is the general partner of IWP VII and II VII.
(2) Cash, Gianos, Holmes, Kliman, and Oronsky are Managing Directors of IMP VII and share voting and investment control over shares held by IWP VII and II VII. Beneficial ownership is expressly disclaimed, except to the extent of their pecuniary interest.
(3) Kjellson is an Agent of IMP VII with no beneficial ownership of shares held by IWP VII or II VII. The total above includes options exercisable for 714 shares common stock within 60 days of 12/31/14, received while a Director of the Issuer.

 

Page 12 of 15 Pages


ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.

Not applicable.

ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.

Under certain circumstances set forth in the limited liability company operating agreement of IMP VII, the members of such limited liability company have the right to receive dividends from, or the proceeds from the sale of, the common stock of Issuer beneficially owned by such limited liability company.

ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.

Not applicable.

ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.

No reporting person is a member of a group as defined in section 240.13d-1(b)(1)(iii)(H) of the Act.

ITEM 9. NOTICE OF DISSOLUTION OF THE GROUP.

Not applicable.

ITEM 10. CERTIFICATION.

Not applicable.

EXHIBITS

Joint Filing Statement attached as Exhibit A.

 

Page 13 of 15 Pages


SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Date: February 13, 2015

 

INTERWEST PARTNERS VII, LP
By:

/s/ Harvey B. Cash

By: InterWest Management Partners VII, LLC
Name: Harvey B. Cash its General Partner
By:

/s/ Philip T. Gianos

By:

/s/ W. Stephen Holmes

Name: Philip T. Gianos Managing Director
INTERWEST INVESTORS VII, LP
By:

/s/ W. Stephen Holmes

Name: W. Stephen Holmes III
By:

InterWest Management Partners VII, LLC

its General Partner

By:

/s/ Gilbert H. Kliman

Name: Gilbert H. Kliman By:

/s/ W. Stephen Holmes

Managing Director
By:

/s/ Arnold L. Oronsky

Name: Arnold L. Oronsky
INTERWEST MANAGEMENT PARTNERS VII, LLC
By:

/s/ Nina S. Kjellson

By:

/s/ W. Stephen Holmes

Name: Nina S. Kjellson Managing Director

 

Page 14 of 15 Pages