0001209191-15-008007.txt : 20150130 0001209191-15-008007.hdr.sgml : 20150130 20150130175609 ACCESSION NUMBER: 0001209191-15-008007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150128 FILED AS OF DATE: 20150130 DATE AS OF CHANGE: 20150130 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: 15564358 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 doc4.xml FORM 4 SUBMISSION X0306 4 2015-01-28 0 0001485003 Eleven Biotherapeutics, Inc. EBIO 0001590442 JAFCO Super V3 Investment Limited Partnership OTEMACHI FIRST SQ. WEST TOWER 11F, 1-5-1 OTEMACHI CHIYODA-KU TOKYO M0 100-0004 JAPAN 0 0 1 0 Common Stock 2015-01-28 4 S 0 5000 11.58 D 2091726 D Common Stock 2015-01-29 4 S 0 55000 11.46 D 2036726 D Common Stock 2015-01-30 4 S 0 60000 11.77 D 1976726 D /s/ Hironori Hozoji 2015-01-30