Filing Details

Accession Number:
0001104659-12-041088
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-05-31 21:56:56
Reporting Period:
2012-05-29
Filing Date:
2012-05-31
Accepted Time:
2012-05-31 21:56:56
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1427925 Acelrx Pharmaceuticals Inc ACRX Pharmaceutical Preparations (2834) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1190418 J Stephen Hoffman Allos Therapeutics, Inc.
11080 Circlepoint Road, Suite 200
Wesminster CO 80020
Yes No Yes No
1277503 Yasunori Kaneko 509 Roehampton
Hills Borough CA 94010
No No Yes No
1296771 Gordon John Freund 125 University Ave.
C/O Skyline Ventures
Palo Alto CA 94301
No No Yes No
1324617 P L Iv Fund Purchaser Qualified Partners Venture Skyline 125 University Ave
Palo Alto CA 94301
Yes No Yes No
1392103 Skyline Venture Management Iv, Llc 525 University Ave.
Suite 520
Palo Alto CA 94301
No No Yes 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 2012-05-29 284,698 $3.40 4,161,933 No 4 P Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant to purchase Common Stock Acquisiton 2012-05-29 256,228 $0.13 256,228 $3.40
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
256,228 2012-12-01 2017-12-01 No 4 P Indirect
Footnotes
  1. The shares are held by Skyline Venture Partners Qualified Purchaser Fund IV, L.P. John G. Freund and Yasunori Kaneko are the Managing Members of Skyline Venture Management IV, LLC, which is the sole general partner of Skyline Venture Partners Qualified Purchaser Fund IV, L.P., and as such Drs. Freund and Kaneko may be deemed to share voting and dispositive power with respect to all shares of Common Stock held by Skyline Venture Partners Qualified Purchaser Fund IV, L.P. Stephen Hoffman, one of the Issuer's directors, is a Managing Director of Skyline Ventures and as such may be deemed to share voting and dispositive power with respect to all shares of Common Stock held by Skyline Venture Partners Qualified Purchasers Fund IV, L.P. Each of Drs. Freund, Kaneko and Hoffman disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.