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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 02/27/2012 | C | 1,336,600 | (1) | (1) | Common Stock | 445,532 | $ 0 | 0 | I | See footnote (2) | |||
Series B Convertible Preferred Stock | (1) | 02/27/2012 | C | 514,458 | (1) | (1) | Common Stock | 171,486 | $ 0 | 0 | I | See footnote (2) | |||
Series C Convertible Preferred Stock | (1) | 02/27/2012 | C | 291,279 | (1) | (1) | Common Stock | 97,093 | $ 0 | 0 | I | See footnote (2) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/27/2012 | C | 198,831 | (1) | (1) | Common Stock | 66,276 | $ 0 | 0 | I | See footnote (2) | |||
Series D Convertible Preferred Stock | (1) | 02/27/2012 | C | 38,842 | (1) | (1) | Common Stock | 12,946 | $ 0 | 0 | I | See footnote (2) | |||
Series A Convertible Preferred Stock | (1) | 02/27/2012 | C | 250,000 | (1) | (1) | Common Stock | 83,332 | $ 0 | 0 | I | See footnote (3) | |||
Series B Convertible Preferred Stock | (1) | 02/27/2012 | C | 100,000 | (1) | (1) | Common Stock | 33,333 | $ 0 | 0 | I | See footnote (3) | |||
Series C Convertible Preferred Stock | (1) | 02/27/2012 | C | 75,567 | (1) | (1) | Common Stock | 25,189 | $ 0 | 0 | I | See footnote (3) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/27/2012 | C | 51,584 | (1) | (1) | Common Stock | 17,194 | $ 0 | 0 | I | See footnote (3) | |||
Series D Convertible Preferred Stock | (1) | 02/27/2012 | C | 10,076 | (1) | (1) | Common Stock | 3,358 | $ 0 | 0 | I | See footnote (3) | |||
Series A Convertible Preferred Stock | (1) | 02/27/2012 | C | 913,400 | (1) | (1) | Common Stock | 304,466 | $ 0 | 0 | I | See footnote (4) | |||
Series B Convertible Preferred Stock | (1) | 02/27/2012 | C | 385,542 | (1) | (1) | Common Stock | 128,514 | $ 0 | 0 | I | See footnote (4) | |||
Series C Convertible Preferred Stock | (1) | 02/27/2012 | C | 218,288 | (1) | (1) | Common Stock | 72,762 | $ 0 | 0 | I | See footnote (4) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/27/2012 | C | 149,006 | (1) | (1) | Common Stock | 49,668 | $ 0 | 0 | I | See footnote (4) | |||
Series D Convertible Preferred Stock | (1) | 02/27/2012 | C | 29,108 | (1) | (1) | Common Stock | 9,702 | $ 0 | 0 | I | See footnote (4) | |||
Series C Convertible Preferred Stock | (1) | 02/27/2012 | C | 170,541 | (1) | (1) | Common Stock | 56,847 | $ 0 | 0 | I | See footnote (5) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/27/2012 | C | 116,413 | (1) | (1) | Common Stock | 38,803 | $ 0 | 0 | I | See footnote (5) | |||
Series D Convertible Preferred Stock | (1) | 02/27/2012 | C | 22,741 | (1) | (1) | Common Stock | 7,579 | $ 0 | 0 | I | See footnote (5) | |||
Convertible Subordinated Promissory Note | $ 10.4 | 02/27/2012 | C | $ 200,000 | (6) | (6) | Common Stock | 19,230 | (6) | 0 | I | See footnote (7) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Olivier de Vezin Edmund Martin C/O CERES, INC. 1535 RANCHO CONEJO BOULEVARD THOUSAND OAKS, CA 91320 |
X |
/s/ Paul Kuc, Attorney-in-Fact for Edmund Martin Olivier de Vezin | 02/28/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each share of each series of preferred stock was convertible at any time on a 1-for-0.3333 basis into Common Stock, at the holder's election, and each share of each series of preferred stock automatically converted upon the closing of the Issuer's initial public offering. The shares of each series of preferred stock have no expiration date. |
(2) | By Oxford Bioscience Partners II LP, who directly holds these securities. The reporting person is one of the general partners of OBP Management II LP, which is the general partner of Oxford Bioscience Partners II LP. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any. |
(3) | By Oxford Bioscience Partners Adjunct II LP, who directly holds these securities. The reporting person is one of the general partners of OBP Management II LP, which is the general partner of Oxford Bioscience Partners Adjunct II LP. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any. |
(4) | By Oxford Bioscience Partners Bermuda II Limited Partnership, who directly holds these securities. The reporting person is one of the general partners of OBP Management Bermuda II Limited Partnership, which is the general partner of Oxford Bioscience Partners Bermuda II Limited Partnership. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any. |
(5) | By Oxford Bioscience Partners GS-Adjunct II LP, who directly holds these securities. The reporting person is one of the general partners of OBP Management II LP, which is the general partner of Oxford Bioscience Partners GS-Adjunct II LP. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any. |
(6) | The Convertible Subordinated Promissory Note (the "Convertible Note") was purchased by the reporting person in connection with an August 2011 financing. The Convertible Note automatically converted into shares of Common Stock upon the closing of the Issuer's initial public offering at a price per share equal to the public offering price with a 20% discount. Since the public offering price was $13.00, the price per share is $10.40. |
(7) | By the Edmund and Ellen Olivier Revocable Family Trust. |
(8) | By Oxford Bioscience Management Partners II, who directly holds these securities. The reporting person is one of the general partners of Oxford Bioscience Management Partners II. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any. |