0001209191-14-022702.txt : 20140324 0001209191-14-022702.hdr.sgml : 20140324 20140324170525 ACCESSION NUMBER: 0001209191-14-022702 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20140320 FILED AS OF DATE: 20140324 DATE AS OF CHANGE: 20140324 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: LEVIN MARK J CENTRAL INDEX KEY: 0001180428 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36296 FILM NUMBER: 14713760 MAIL ADDRESS: STREET 1: 40 LANDSDOWNE STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-03-20 0 0001485003 Eleven Biotherapeutics, Inc. EBIO 0001180428 LEVIN MARK J C/O ELEVEN BIOTHERAPEUTICS, INC. 215 FIRST STREET, SUITE 400 CAMBRIDGE MA 02142 1 0 0 0 Stock Option 16.72 2014-03-20 4 A 0 16143 0.00 A 2024-03-19 Common Stock 16143 16143 D This option was granted on March 20, 2014 and vests over three years, with 1/36th of the shares subject to the option vesting at the end of each successive one-month period following the grant date. Exhibit Index Exhibit 24.1 - Power of Attorney /s/ Kevin Gillis, attorney-in-fact 2014-03-24 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT
                                                                    Exhibit 24.1

                                POWER OF AITORNEY

        KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes
and appoints Kevin Gillis his true and lawful attorney-in-fact, with full power
of substitution, to sign any and all instruments, certificates and documents
that may be necessary, desirable or appropriate to be executed on behalf of
himself as an individual or in his capacity as a direct or indirect general
partner, director, officer, member or manager of any partnership, corporation or
limited liability company, pursuant to section 13 or 16 of the Securities
Exchange Act of 1934, as amended (the "Exchange Act"), and any and all
regulations promulgated thereunder, and to file the same, with all exhibits
thereto, and any other documents in connection therewith, with the Securities
and Exchange Commission, and with any other entity when and if such is mandated
by the Exchange Act or by the Financial Industry Regulatory Authority, granting
unto said attorney-in-fact full power and authority to do and perform each and
every act and thing necessary, desirable or appropriate, fully to all intents
and purposes as he might or could do in person, thereby ratifying and confirming
all that said attorney-in-fact, or his substitutes, may lawfully do or cause to
be done by virtue hereof.

        IN WITNESS WHEREOF, this Power of Attorney has been signed as of the
16th day of January, 2014.

                                                      /s/ Mark Levin
                                                      --------------------------
                                                      Mark Levin