Initial Statement of Beneficial Ownership (3)
October 27 2016 - 4:13PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Eliasof Scott
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2. Date of Event Requiring Statement (MM/DD/YYYY)
10/25/2016
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3. Issuer Name
and
Ticker or Trading Symbol
Cerulean Pharma Inc. [CERU]
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(Last)
(First)
(Middle)
C/O CERULEAN PHARMA INC., 35 GATEHOUSE DRIVE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
SVP, Chief Scientific Officer /
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(Street)
WALTHAM, MA 02451
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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EmployeeStock Option (right to buy)
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(1)
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8/9/2017
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Common Stock
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3446
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$5.0776
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D
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Employee Stock Option (right to buy)
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(2)
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7/7/2018
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Common Stock
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517
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$5.948
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D
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Employee Stock Option (right to buy)
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(3)
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3/26/2019
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Common Stock
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586
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$5.948
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D
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Employee Stock Option (right to buy)
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(4)
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3/4/2020
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Common Stock
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655
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$3.3367
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D
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Emplyee Stock Option (right to buy)
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(5)
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1/27/2021
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Common Stock
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9953
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$3.3367
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D
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Emplyee Stock Option (right to buy)
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(6)
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1/24/2022
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Common Stock
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13786
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$3.7719
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D
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Emplpyee Stock Option (right to buy)
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(7)
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12/18/2022
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Common Stock
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19707
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$3.917
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D
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Employee Stock Option (right to buy)
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(8)
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1/9/2024
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Common Stock
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13786
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$10.5904
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D
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Employee Stock Option (right to buy)
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(9)
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6/23/2024
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Common Stock
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58400
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$5.73
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D
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Employee Stock Option (right to buy)
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(10)
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2/4/2025
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Common Stock
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43000
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$8.16
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D
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Employee Stock Option (right to buy)
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(11)
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11/30/2015
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Common Stock
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158000
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$3.29
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D
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Employee Stock Option (right to buy)
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(12)
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1/4/2026
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Common Stock
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42500
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$3.04
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D
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Employee Stock Option (right to buy)
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(13)
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8/21/2026
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Common Stock
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75000
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$1.14
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D
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Explanation of Responses:
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(
1)
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This option was granted on August 10, 2007 and vested over four years, with 25% of the shares vesting on the first anniversary of May 2, 2007 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
2)
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This option was granted on July 8, 2008 and vested over four years, with 25% of the shares vesting on the first anniversary of January 1, 2008 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
3)
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This option was granted on March 27, 2009 and vested over four years, with 25% of the shares vesting on the first anniversary of January 1, 2009 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
4)
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This option was granted on January 28, 2011 and vested over four years, with 25% of the shares vesting on the first anniversary of December 31, 2010 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
5)
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This option was granted on January 28, 2011 and vested over four years, with 25% of the shares vesting on the first anniversary of December 31, 2009 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
6)
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This option was granted on January 25, 2012 and vested over four years, with 25% of the shares vesting on the first anniversary of December 31, 2011 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
7)
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This option was granted on December 19, 2012 and is scheduled to vest over four years, with 25% of the shares vesting on the first anniversary of December 31, 2012 and the remainder vesting over the ensuing three years at a rate of 2.0833% per month.
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(
8)
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This option was granted on January 10, 2014. The shares underlying the option are scheduled to vest in equal monthly installments over four years from the vesting commencement date of January 31, 2014.
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(
9)
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This option was granted on June 24, 2014. The shares underlying the option are scheduled to vest in equal monthly installments over four years from the grant date.
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(
10)
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This option was granted on February 5, 2015. The shares underlying the option are scheduled to vest in equal monthly installments over four years from the vesting commencement date of January 31, 2015.
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(
11)
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This option was granted on December 1, 2015. The shares underlying the option are scheduled to vest in three equal installments on December 1, 2016, December 1, 2017 and December 1, 2018.
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(
12)
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This option was granted on January 5, 2016. The shares underlying the option are scheduled to vest in equal monthly installments over four years from the vesting commencement date of January 1, 2016.
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(
13)
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This option was granted on August 22, 2016. The shares underlying this option are scheduled to vest in equal installments every six months from the grant date until the second anniversary of the grant date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Eliasof Scott
C/O CERULEAN PHARMA INC.
35 GATEHOUSE DRIVE
WALTHAM, MA 02451
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SVP, Chief Scientific Officer
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Signatures
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/s/ Alejandra Carvajal, as attorney-in-fact for Scott Eliasof
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10/27/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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