0001181431-14-005340.txt : 20140205 0001181431-14-005340.hdr.sgml : 20140205 20140205192621 ACCESSION NUMBER: 0001181431-14-005340 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140205 FILED AS OF DATE: 20140205 DATE AS OF CHANGE: 20140205 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: BERRY DAVID A CENTRAL INDEX KEY: 0001204876 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36296 FILM NUMBER: 14577627 MAIL ADDRESS: STREET 1: C/O ELEVEN BIOTHERAPEUTICS, INC. STREET 2: 215 FIRST STREET, SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 3 1 rrd401012.xml FORM 3 X0206 3 2014-02-05 0 0001485003 Eleven Biotherapeutics, Inc. EBIO 0001204876 BERRY DAVID A C/O ELEVEN BIOTHERAPEUTICS, INC. 215 FIRST STREET, SUITE 400 CAMBRIDGE MA 02142 1 0 0 0 No securities are beneficially owned 0 D Mr. Berry does not own shares in his individual capacity. He is a member of Flagship Ventures 2007 General Partner LLC, the sole general partner of Flagship Ventures Fund 2007, L.P. ("Flagship 2007"), and a member of Flagship Ventures Fund IV General Partner LLC, the sole general partner of each of Flagship Ventures Fund IV, L.P. ("Flagship IV") and Flagship Ventures Fund IV-Rx, L.P ("Flagship IV-RX"). Flagship 2007, Flagship IV and Flagship IV-RX (collectively, the "Funds") are reporting persons and, concurrently herewith, are jointly filing a Form 3 reporting their ownership. Mr. Berry disclaims beneficial ownership of the Funds' shares, except to the extent of his pecuniary interest therein. /s/ David A. Berry, Ph.D. 2014-02-05