SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Vasisht Niraj

(Last) (First) (Middle)
C/O BIODELIVERY SCIENCES INTL, INC.,
4131 PARKLAKE AVE. SUITE 225

(Street)
RALEIGH NC 27612

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2016
3. Issuer Name and Ticker or Trading Symbol
BIODELIVERY SCIENCES INTERNATIONAL INC [ BDSI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP & Chief Technology Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 67,420 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 05/29/2008 05/29/2017 Common Stock 33,500 $5.22 D
Options 10/01/2009 10/01/2018 Common Stock 20,000 $2.54 D
Options 01/21/2011 01/21/2020 Common Stock 17,686 $3.9 D
Options 07/21/2011 07/21/2020 Common Stock 17,329 $2.43 D
Options 01/25/2012 01/25/2021 Common Stock 25,000 $3.47 D
Options 02/25/2012 02/25/2021 Common Stock 12,105 $3.55 D
Options 02/09/2013 02/09/2022 Common Stock 24,579 $1.78 D
Options 02/15/2013 02/15/2022 Common Stock 14,297 $1.96 D
Restricted Stock Units 01/30/2016 01/30/2016 Common Stock 16,667 $0.00 D
Restricted Stock Units 02/20/2016 02/20/2016 Common Stock 27,666 $0.00 D
Restricted Stock Units 02/22/2016 02/22/2016 Common Stock 24,980 $0.00 D
Restricted Stock Units 02/23/2016 02/23/2016 Common Stock 66,667 $0.00 D
Restricted Stock Units 01/30/2017 01/30/2017 Common Stock 16,666 $0.00 D
Restricted Stock Units 02/22/2017 02/22/2017 Common Stock 24,980 $0.00 D
Restricted Stock Units 02/23/2017 02/23/2017 Common Stock 66,667 $0.00 D
Restricted Stock Units 02/23/2018 02/23/2018 Common Stock 66,666 $0.00 D
Explanation of Responses:
Remarks:
/s/ Niraj Vasisht 01/08/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.