0001400482-15-000114.txt : 20151217 0001400482-15-000114.hdr.sgml : 20151217 20151217165653 ACCESSION NUMBER: 0001400482-15-000114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151215 FILED AS OF DATE: 20151217 DATE AS OF CHANGE: 20151217 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACUCELA INC. CENTRAL INDEX KEY: 0001400482 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 020592619 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 SECOND AVE. STREET 2: SUITE 4200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-805-8300 MAIL ADDRESS: STREET 1: 1301 SECOND AVE. STREET 2: SUITE 4200 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: Acucela Inc DATE OF NAME CHANGE: 20070523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KUBOTA RYO CENTRAL INDEX KEY: 0001598575 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55133 FILM NUMBER: 151294281 MAIL ADDRESS: STREET 1: C/O ACUCELA, INC. STREET 2: 1301 SECOND AVE., SUITE 1900 CITY: SEATTLE STATE: WA ZIP: 98101 4 1 wf-form4_145038940239951.xml FORM 4 X0306 4 2015-12-15 0 0001400482 ACUCELA INC. M?????? 0001598575 KUBOTA RYO C/O ACUCELA INC. 1301 SECOND AVE., SUITE 4200 SEATTLE WA 98101 1 1 1 0 CEO, President and COB Common Stock 2015-12-15 4 M 0 10000 1.45 A 10250654 D Stock Option (right to buy) 1.45 2015-12-15 4 M 0 10000 0 D 2017-05-04 Common Stock 10000.0 0 D The issuer's common stock trades on the Tokyo Stock Exchange under the symbol referenced in the issuer's registration statement on Form S-1 (File No. 333-192900). The options became 100% vested and exercisable on April 27, 2010. /s/ John E. Gebhart as attorney-in-fact for Ryo Kubota, M.D., Ph.D. 2015-12-17 EX-24 2 ryokubota-powerofattorneyx.htm KUBOTA POWER OF ATTORNEY
LIMITED POWER OF ATTORNEY FOR REPORTING OBLIGATIONS UNDER SECTION 16 OF THE SECURITIES EXCHANGE ACT OF 1934

The undersigned hereby make, constitute and appoint John E. Gebhart, acting as the undersigned's true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the name, place and stead of the undersigned to:
       (1) prepare, execute, acknowledge, deliver and file Forms 3, 4 and 5 (including any amendments thereto) with respect to the securities of Acucela Inc., a corporation formed under the laws of Washington (the "Company"), with the U.S. Securities and Exchange Commission, any national securities exchanges and the Company, as considered necessary or advisable under Section 16 of the Securities Exchange Act of 1934 (the "Exchange Act") and the rules and regulations promulgated thereunder;
       (2) seek or obtain, as each of the undersigned's representative and on each of the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, in connection with the foregoing, and the undersigned hereby authorizes any such person to release any such information to any of the attorneys-in-fact and approve and ratify any such release of information; and
       (3) perform any and all other acts which in the discretion of such attorney-in-fact are necessary or desirable for and on behalf of the undersigned in connection with the foregoing.

The undersigned acknowledge that:
       (1) this Limited Power of Attorney authorizes, but does not require, each such attorney-in-fact to act in his or her discretion on information provided to such attorney-in-fact without independent verification of such information;
       (2) any documents prepared and/or executed by any such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems necessary or desirable;
       (3) none of such attorneys-in-fact assumes (i) any liability for any responsibility of the undersigned to comply with the requirements of the Exchange Act, or (ii) any liability of the undersigned for any failure to comply with such requirements; and
       (4) this Limited Power of Attorney does not relieve the undersigned from responsibility for compliance with the obligations of the undersigned under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act and the rules and regulations promulgated thereunder.

The undersigned hereby gives and grants the foregoing attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, appropriate or desirable to be done in and about the foregoing matters as fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that such attorney-in-fact of, for and on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney.

This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to such attorney-in-fact.

The undersigned has caused this Limited Power of Attorney to be executed as of this 16th day of December, 2015.

    /s/ Ryo Kubota
By:    Ryo Kubota
Title:  Chairman, President and CEO