Filing Details

Accession Number:
0001181431-12-033676
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-05-31 16:23:23
Reporting Period:
2012-05-29
Filing Date:
2012-05-31
Accepted Time:
2012-05-31 16:23:23
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
1030720 P L Associates Arch Three 3200 Alpine Road
Portola Valley CA 94028
No No Yes No
1030721 P L Partners Arch Three 3200 Alpine Road
Portola Valley CA 94028
No No Yes No
1113520 Three Arch Associates Iii Lp 3200 Alpine Road
Portola Valley CA 94028
No No Yes No
1190472 A Mark Wan 3200 Alpine Road
Portola Valley CA 94028
Yes No Yes No
1190474 E Wilfred Jaeger 3200 Alpine Drive
Portola Valley CA 94028
No No Yes No
1256741 Three Arch Partners Iii Lp 3200 Alpine Drive
Portola Valley CA 94028
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 67,543 $3.40 3,704,712 No 4 P Indirect See Footnote (1)
Common Stock Acquisiton 2012-05-29 3,631 $3.40 199,174 No 4 P Indirect See Footnote (2)
Common Stock Acquisiton 2012-05-29 208,911 $3.40 3,958,829 No 4 P Indirect See Footnote (3)
Common Stock Acquisiton 2012-05-29 4,613 $3.40 87,408 No 4 P Indirect See Footnote (4)
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote (1)
No 4 P Indirect See Footnote (2)
No 4 P Indirect See Footnote (3)
No 4 P Indirect See Footnote (4)
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 60,789 $0.13 60,789 $3.40
Common Stock Warrant to purchase Common Stock Acquisiton 2012-05-29 3,268 $0.13 3,268 $3.40
Common Stock Warrant to purchase Common Stock Acquisiton 2012-05-29 188,020 $0.13 188,020 $3.40
Common Stock Warrant to purchase Common Stock Acquisiton 2012-05-29 4,151 $0.13 4,151 $3.40
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
60,789 2012-11-29 2017-11-29 No 4 P Indirect
3,268 2012-11-29 2017-11-29 No 4 P Indirect
188,020 2012-11-29 2017-11-29 No 4 P Indirect
4,151 2012-11-29 2017-11-29 No 4 P Indirect
Footnotes
  1. The shares are held by Three Arch Partners III, L.P. ("TAP III"). Three Arch Management III, L.L.C. ("TAM III"), the general partner of TAP III, has sole voting and dispositive power with respect to the securities held by TAP III. Mark A. Wan and Wilfred Jaeger, the managing members of TAM III, share the voting and dispositive power with respect to the shares hld by TAP III. Such persons and entities disclaim beneficial ownership of the shares held by TAP III except to the extent of any pecuniary interest therein.
  2. The shares are held by Three Arch Associates III, L.P. ("TAA III"). TAM III, the general partner of TAA III, has sole voting and dispositive power with respect to the securities held by TAA III. Mark A. Wan and Wilfred Jaeger, the managing members of TAM III, share the voting and dispositive power with respect to the shares hld by TAA III. Such persons and entities disclaim beneficial ownership of the shares held by TAA III except to the extent of any pecuniary interest therein.
  3. The shares are held by Three Arch Partners IV, L.P. ("TAP IV"). Three Arch Management IV, L.L.C. ("TAM IV"), the general partner of TAP IV, has sole voting and dispositive power with respect to the securities held by TAP IV. Mark A. Wan and Wilfred Jaeger, the managing members of TAM IV, share the voting and dispositive power with respect to the shares hld by TAP IV. Such persons and entities disclaim beneficial ownership of the shares held by TAP IV except to the extent of any pecuniary interest therein.
  4. The shares are held by Three Arch Associates IV, L.P. ("TAA IV"). TAM IV, the general partner of TAA IV, has sole voting and dispositive power with respect to the securities held by TAA IV. Mark A. Wan and Wilfred Jaeger, the managing members of TAM IV, share the voting and dispositive power with respect to the shares hld by TAA IV. Such persons and entities disclaim beneficial ownership of the shares held by TAA IV except to the extent of any pecuniary interest therein.