0001171843-15-002475.txt : 20150504 0001171843-15-002475.hdr.sgml : 20150504 20150504192812 ACCESSION NUMBER: 0001171843-15-002475 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150430 FILED AS OF DATE: 20150504 DATE AS OF CHANGE: 20150504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xenon Pharmaceuticals Inc. CENTRAL INDEX KEY: 0001582313 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 980661854 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 - 3650 GILMORE WAY CITY: BURNABY STATE: A1 ZIP: V5G 48W BUSINESS PHONE: (604) 484-3300 MAIL ADDRESS: STREET 1: 200 - 3650 GILMORE WAY CITY: BURNABY STATE: A1 ZIP: V5G 48W REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STEIN EVAN A. CENTRAL INDEX KEY: 0001620461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36687 FILM NUMBER: 15830004 MAIL ADDRESS: STREET 1: C/O XENON PHARMACEUTICALS INC. STREET 2: 200 - 3650 GILMORE WAY CITY: BURNABY STATE: A1 ZIP: V5G4W8 4 1 gff4_stein050415.xml OWNERSHIP DOCUMENT X0306 4 2015-04-30 1 0001582313 Xenon Pharmaceuticals Inc. XENE 0001620461 STEIN EVAN A. C/O XENON PHARMACEUTICALS INC. 200 - 3650 GILMORE WAY BURNABY A1 V5G 4W8 BRITISH COLUMBIA, CANADA 1 0 0 0 Common Shares 2015-04-30 4 J 0 1038964 0 D 0 I See Footnote Common Shares 2015-04-30 4 J 0 909619 0 A 910586 I See Footnote Common Shares 2015-04-30 4 J 0 4172 0 A 4172 I See Footnote In kind pro-rata distribution from Lipoterx, Ltd. to its partners, without consideration. These shares were held by Lipoterx, Ltd. Lipoterx Holdings, LLC ("Lipoterx Holdings"), the general partner of Lipoterx, Ltd., had sole voting and investment power with respect to the shares held by Lipoterx, Ltd. The Reporting Person, the managing partner of Lipoterx Holdings, had sole voting and investment power with respect to the shares held by Lipoterx, Ltd. Acquisition by the Stein Family LLC, pursuant to an in kind pro-rata distribution by Lipoterx, Ltd. to its partners, without consideration. These shares are held by the Stein Family LLC, for which the Reporting Person serves as the managing member. Acquisition by Lipoterx Holdings, pursuant to an in kind pro-rata distribution by Lipoterx, Ltd. to its partners, without consideration. These shares are held by Lipoterx Holdings. The Reporting Person, the managing partner of Lipoterx Holdings has sole voting and investment power with respect to the shares held. /s/ Sonia Graham, Attorney-in-fact 2015-05-04