0001019687-15-000263.txt : 20150120
0001019687-15-000263.hdr.sgml : 20150119
20150120143340
ACCESSION NUMBER: 0001019687-15-000263
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150115
FILED AS OF DATE: 20150120
DATE AS OF CHANGE: 20150120
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: 15535498
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
2015-01-15
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
2015-01-15
4
S
0
700
12.00
D
2114726
D
Common Stock
2015-01-15
4
S
0
99
12.19
D
2114627
D
Common Stock
2015-01-15
4
S
0
1
12.25
D
2114626
D
Common Stock
2015-01-15
4
S
0
100
12.30
D
2114526
D
Common Stock
2015-01-15
4
S
0
800
12.50
D
2113726
D
Common Stock
2015-01-16
4
S
0
4100
12.00
D
2109626
D
Common Stock
2015-01-16
4
S
0
100
12.005
D
2109526
D
Common Stock
2015-01-16
4
S
0
100
12.01
D
2109426
D
Common Stock
2015-01-16
4
S
0
100
12.04
D
2109326
D
/s/ Hironori Hozoji
2015-01-20