0001019687-14-003388.txt : 20140827 0001019687-14-003388.hdr.sgml : 20140827 20140827171253 ACCESSION NUMBER: 0001019687-14-003388 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140825 FILED AS OF DATE: 20140827 DATE AS OF CHANGE: 20140827 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eleven Biotherapeutics, Inc. CENTRAL INDEX KEY: 0001485003 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 252025616 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 215 FIRST STREET STREET 2: SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 617-871-9911 MAIL ADDRESS: STREET 1: 215 FIRST STREET STREET 2: SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAFCO Super V3 Investment Limited Partnership CENTRAL INDEX KEY: 0001590442 STATE OF INCORPORATION: M0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36296 FILM NUMBER: 141069087 BUSINESS ADDRESS: STREET 1: OTEMACHI FIRST SQUARE, WEST TOWER 11F STREET 2: 1-5-1 OTEMACHI CITY: CHIYODA-KU, TOKYO 100-0004 STATE: M0 ZIP: 100-0004 BUSINESS PHONE: 81-3-5223-7008 MAIL ADDRESS: STREET 1: OTEMACHI FIRST SQUARE, WEST TOWER 11F STREET 2: 1-5-1 OTEMACHI CITY: CHIYODA-KU, TOKYO 100-0004 STATE: M0 ZIP: 100-0004 4 1 jafco_f4.xml OWNERSHIP DOCUMENT X0306 4 2014-08-25 0 0001485003 Eleven Biotherapeutics, Inc. EBIO 0001590442 JAFCO Super V3 Investment Limited Partnership OTEMACHI FIRST SQUARE WEST TOWER 11F, 1-5-1, OTEMACHI CHIYODA-KU TOKYO, JAPAN M0 100-0004 JAPAN 0 0 1 0 Common Stock 2014-08-25 4 S 0 1000 11.50 D 2120526 D Common Stock 2014-08-26 4 S 0 1000 11.57 D 2119526 D /s/ Hironori Hozoji 2014-08-27