0001209191-11-048745.txt : 20110922 0001209191-11-048745.hdr.sgml : 20110922 20110922164720 ACCESSION NUMBER: 0001209191-11-048745 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110921 FILED AS OF DATE: 20110922 DATE AS OF CHANGE: 20110922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MITCHELL KATE CENTRAL INDEX KEY: 0001266275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 111103407 MAIL ADDRESS: STREET 1: 950 TOWER LANE STREET 2: STE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Driscoll Rory CENTRAL INDEX KEY: 0001366969 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 111103406 MAIL ADDRESS: STREET 1: 950 TOWER LANE STREET 2: SUITE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wienbar Sharon L CENTRAL INDEX KEY: 0001393556 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 111103405 MAIL ADDRESS: STREET 1: SCALE VENTURE PARTNERS STREET 2: 950 TOWER LANE, SUITE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scale Venture Partners II, LP CENTRAL INDEX KEY: 0001314703 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 111103409 BUSINESS ADDRESS: STREET 1: 950 TOWER LANE CITY: FOSTER CITY STATE: CA ZIP: 94404 BUSINESS PHONE: 650.378.6050 MAIL ADDRESS: STREET 1: 950 TOWER LANE CITY: FOSTER CITY STATE: CA ZIP: 94404 FORMER NAME: FORMER CONFORMED NAME: BAVP VII LP DATE OF NAME CHANGE: 20050119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scale Venture Management II, LLC CENTRAL INDEX KEY: 0001367512 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 111103408 BUSINESS ADDRESS: STREET 1: 950 TOWER LANE, SUITE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 BUSINESS PHONE: 650.378.6050 MAIL ADDRESS: STREET 1: 950 TOWER LANE, SUITE 700 CITY: FOSTER CITY STATE: CA ZIP: 94404 FORMER NAME: FORMER CONFORMED NAME: BA Venture Partners VII, LLC DATE OF NAME CHANGE: 20060626 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-09-21 1 0001375151 ZOGENIX, INC. ZGNX 0001314703 Scale Venture Partners II, LP 950 TOWER LANE, SUITE 700 FOSTER CITY CA 94404 0 0 0 1 Former 10% Holder 0001367512 Scale Venture Management II, LLC 950 TOWER LANE, SUITE 700 FOSTER CITY CA 94404 0 0 0 1 Former 10% Holder 0001266275 MITCHELL KATE 950 TOWER LANE SUITE 700 FOSTER CITY CA 94404 0 0 0 1 Former 10% Holder 0001366969 O'Driscoll Rory 450 TOWER LANE, SUITE 700 FOSTER CITY CA 94404 0 0 0 1 Former 10% Holder 0001393556 Wienbar Sharon L 450 TOWER LANE, SUITE 700 FOSTER CITY CA 94404 0 0 0 1 Former 10% Holder Common Stock 2011-09-21 4 P 0 1250000 2.00 A 5321546 D The securities are held directly by Scale Venture Partners II, LP ("Scale Partners"). The General Partner of Scale Partners is Scale Venture Management II, LLC ("Scale Management"). Kate Mitchell, Rory O'Driscoll and Sharon Wienbar are managing members of Scale Management and share voting and investment power with respect to these securities. Each of the managing members of Scale Management disclaims beneficial ownership with respect to these securities except to the extent of his or her respective proportionate pecuniary interest therein. By: Scale Venture Management II, LLC, its General Partner, by: Kate Mitchell, Managing Member, /s/ Kate Mitchell 2011-09-21 By: Kate Mitchell, Managing Member, /s/ Kate Mitchell 2011-09-21 /s/ Kate Mitchell 2011-09-21 /s/ Rory O'Driscoll 2011-09-21 /s/ Sharon Wienbar 2011-09-21