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*
Satter Muneer A

(Last) (First) (Middle)
C/O VITAL THERAPIES, INC.
15010 AVENUE OF SCIENCE, SUITE 200

(Street)
SAN DIEGO CA 92128

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/16/2014
3. Issuer Name and Ticker or Trading Symbol
VITAL THERAPIES INC [ VTL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
04/16/2014
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)
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
Common Stock Warrant (right to buy) 02/02/2012 11/20/2016 Common Stock 4,477 $147.91 I See Footnotes(1)(2)
Common Stock Warrant (right to buy) 02/02/2012 09/25/2019 Common Stock 122,172 $92.99 I See Footnotes(1)(3)
Explanation of Responses:
1. This amendment is not being filed by the reporting person to report the acquisition or disposition of any securities, but rather to correct immaterial errors in the original Form 3 filed in April 2014. The original Form 3 included a line item for 1,153 shares of common stock subject to a warrant that actually expired prior to the date of the original Form 3. Accordingly, the corresponding line item and related footnote in the Form 3 is hereby deleted. In addition, the line items for the other warrants in the original Form 3 should have reflected 4,477 shares of common stock instead of 4,654 shares and 122,172 shares of common stock instead of 120,841 shares. Accordingly, the line items and related footnotes for those warrants have been restated in their entirety to reflect such changes. All Form 4s filed by the reporting person after his original Form 3 were correct and are not impacted by these amendments.
2. Includes (a) warrants to acquire 2,339 shares of common stock that are held by the Muneer A. Satter Revocable Trust for which the Reporting Person serves as trustee and, in such capacity, has sole voting and dispositive power over all such shares and (b) warrants to acquire 2,138 shares of common stock that are held by various trusts and other entities for which the Reporting Person serves as trustee, investment advisor or manager, and in such capacity, has the sole power to exercise such warrants and sole voting and dispositive power over all shares underlying such warrants. The Reporting Person disclaims beneficial ownership of all warrants and shares underlying such warrants included in clause (b) of this footnote 2, except to the extent of his pecuniary interest.
3. Includes (a) warrants to acquire 60,639 shares of common stock that are held by the Muneer A. Satter Revocable Trust for which the Reporting Person serves as trustee and, in such capacity, has sole voting and dispositive power over all such shares and (b) warrants to acquire 61,533 shares of common stock that are held by various trusts and other entities for which the Reporting Person serves as trustee, investment advisor or manager, and in such capacity, has the sole power to exercise such warrants and sole voting and dispositive power over all shares underlying such warrants. The Reporting Person disclaims beneficial ownership of all warrants and shares underlying such warrants included in clause (b) of this footnote 3, except to the extent of his pecuniary interest.
Remarks:
/s/ Robert M. Hayward, P.C. by Power of Attorney 08/29/2014
** 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 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.
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