Filing Details

Accession Number:
0001209191-16-126265
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-06-07 16:41:07
Reporting Period:
2016-06-07
Filing Date:
2016-06-07
Accepted Time:
2016-06-07 16:41:07
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1539029 Clearside Biomedical Inc. CLSD Pharmaceutical Preparations (2834) 452437375
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1664697 H. Daniel White C/O Clearside Biomedical, Inc.
1220 Old Alpharetta Road, Suite 300
Alpharetta GA 30005
President And Ceo Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-06-07 66,518 $0.00 530,163 No 4 C Direct
Common Stock Acquisiton 2016-06-07 657 $0.02 530,820 No 4 X Direct
Common Stock Disposition 2016-06-07 3 $7.00 530,817 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 X Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Preferred Stock Disposition 2016-06-07 133,234 $0.00 60,560 $0.00
Common Stock Series B Preferred Stock Disposition 2016-06-07 13,110 $0.00 5,958 $0.00
Common Stock Warrant to Purchase Common Stock (right to buy) Disposition 2016-06-07 657 $0.00 657 $0.02
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
0 2014-04-28 No 4 X Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 40,909 Indirect By White Family Trust
Common Stock 301 Indirect As UTMA custodian for son
Common Stock 844 Indirect As UTMA custodian for son
Common Stock 1,188 Indirect As UTMA custodian for son
Footnotes
  1. Represents shares received upon conversion of shares of Series A Preferred Stock and Series B Preferred Stock.
  2. Effective immediately prior to the closing of the Issuer's initial public offering of its common stock, each share of Series A Preferred Stock and Series B Preferred Stock automatically converted into 0.454545 shares of the Issuer's common stock. The Preferred Stock had no expiration date.
  3. On June 7, 2016, the reporting person exercised a warrant to purchase 657 shares of Issuer's common stock for $0.022 per share. The reporting person paid the exercise price on a cashless basis, resulting in the issuer's withholding of 3 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 654 shares.
  4. These securities are held in trust for the benefit of the reporting person's children. The reporting person's wife serves as trustee of the trust. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
  5. These securities are held for the benefit of the reporting person's son under the Georgia Uniform Transfers to Minors Act, for which the reporting person serves as custodian. The reporting person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
  6. This warrant would have expired upon the closing of the Issuer's initial public offering.