-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I/Y6Nvk4fEDlVvBhmk/yKH0G3MUWOs3bxRkoLRi74NkE68B8Xt2wQOAjGZlAqrP4 8OAXcl+9+j4iDA8vmG1Krw== 0001181431-10-058221.txt : 20101130 0001181431-10-058221.hdr.sgml : 20101130 20101130190415 ACCESSION NUMBER: 0001181431-10-058221 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101129 FILED AS OF DATE: 20101130 DATE AS OF CHANGE: 20101130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHEELER KURT CENTRAL INDEX KEY: 0001252525 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 101223325 MAIL ADDRESS: STREET 1: 801 GATEWAY BLVD STREET 2: STE 410 CITY: SAN FRANCISCO STATE: CA ZIP: 94080 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ZOGENIX, INC. CENTRAL INDEX KEY: 0001375151 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 205300780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12671 HIGH BLUFF DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858) 259-1165 MAIL ADDRESS: STREET 1: 12671 HIGH BLUFF DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92130 FORMER COMPANY: FORMER CONFORMED NAME: ZOGENIX INC DATE OF NAME CHANGE: 20060911 4 1 rrd292252.xml FORM 4 X0303 4 2010-11-29 0 0001375151 ZOGENIX, INC. ZGNX 0001252525 WHEELER KURT C/O CLARUS VENTURES, LLC 101 MAIN STREET, SUITE 1210 CAMBRIDGE MA 92130 1 0 1 0 Common Stock 2010-11-29 4 C 0 2100000 A 2100000 I By Clarus Lifesciences I, L.P. Common Stock 2010-11-29 4 C 0 1247947 A 3347947 I By Clarus Lifesciences I, L.P. Common Stock 2010-11-29 4 C 0 884492 A 4232439 I By Clarus Lifesciences I, L.P. Common Stock 2010-11-29 4 P 0 1750000 4.00 A 5982439 I By Clarus Lifesciences I, L.P. Series A-1 Convertible Preferred Stock 2010-11-29 4 C 0 21000000 D Common Stock 2100000 0 I By Clarus Lifesciences I, L.P. Series B Convertible Preferred Stock 2010-11-29 4 C 0 12479474 D Common Stock 1247947 0 I By Clarus Lifesciences I, L.P. 8% Convertible Promissory Note 2010-11-29 4 C 0 884492 D Common Stock 884492 0 I By Clarus Lifesciences I, L.P. Each of the Series A-1 Convertible Preferred Stock and the Series B Convertible Preferred Stock automatically converted to Common Stock upon the closing of the Issuer's initial public offering on November 29, 2010 at a conversion ratio of one share of Common Stock for every ten shares of Series A-1 Convertible Preferred Stock and one share of Common Stock for every ten shares of Series B Convertible Preferred Stock, as applicable, rounded down to the next whole number, for no additional consideration. These securities are held of record by Clarus Lifesciences I, L.P. ("CLI"). Clarus Ventures I Management, L.P. ("CVIM LP") is the general partner of CLI, and Clarus Ventures I, LLC ("CVI LLC") is the general partner of CVIM LP. CVI LLC and CVIM LP may each be deemed to share voting and dispositive power with respect to the securities owned by CLI. The Reporting Person is a manager of CVI LLC and a general partner of CVIM LP and in such capacities may be deemed to beneficially own the securities held of record by CVI, but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. The principle of the Note and accrued interest thereon was automatically converted upon the closing of the Issuer's initial public offering on November 29, 2010 into shares of Common Stock at a conversion price equal to $4.00 per share, the per share price of the Common Stock sold in the Issuer's initial public offering. The filing of this statement shall not be deemed an admission that, for the purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Person is the beneficial owner of equity securities covered by this statement. /s/ Kurt Wheeler 2010-11-29 -----END PRIVACY-ENHANCED MESSAGE-----