FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
NUPATHE INC. [ PATH ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/11/2010 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 08/11/2010 | C | 283,745 | A | (1) | 283,745 | D(2)(3) | |||
Common Stock | 08/11/2010 | C | 422,600 | A | (4) | 706,345 | D(2)(3) | |||
Common Stock | 08/11/2010 | C | 51,651 | A | (5) | 757,996 | D(3)(6) | |||
Common Stock | 08/11/2010 | C | 46,955 | A | (7) | 804,951 | D(3)(6) | |||
Common Stock | 08/11/2010 | C | 157,005 | A | $8(8) | 961,956 | D(2)(3) | |||
Common Stock | 08/11/2010 | C | 17,445 | A | $8(8) | 979,401 | D(3)(6) | |||
Common Stock | 08/11/2010 | C | 138,799(9) | A | (1)(4) | 1,118,200 | D(2)(3) | |||
Common Stock | 08/11/2010 | C | 21,639(9) | A | (5)(7) | 1,139,839 | D(3)(6) | |||
Common Stock | 08/11/2010 | P | 264,231(10) | A | $10 | 1,404,070 | D(2)(3) | |||
Common Stock | 08/11/2010 | P | 29,359(10) | A | $10 | 1,433,429 | D(3)(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 08/11/2010 | C | 2,274,194 | (1) | (1) | Common Stock | 283,745 | $0 | 0 | D | ||||
Series B Convertible Preferred Stock | (4) | 08/11/2010 | C | 3,387,097 | (4) | (4) | Common Stock | 422,600 | $0 | 0 | D | ||||
Series A Convertible Preferred Stock | (5) | 08/11/2010 | C | 413,978 | (5) | (5) | Common Stock | 51,651 | $0 | 0 | D | ||||
Series B Convertible Preferred Stock | (7) | 08/11/2010 | C | 376,344 | (7) | (7) | Common Stock | 46,955 | $0 | 0 | D | ||||
Convertible Promissory Note | $8 | 08/11/2010 | C | $1,222,642 | (8) | (8) | Common Stock | 157,005 | $0 | 0 | D(2) | ||||
Convertible Promissory Note | $8 | 08/11/2010 | C | $135,849 | (8) | (8) | Common Stock | 17,445 | $0 | 0 | D(6) | ||||
Warrant (Right to Buy) | $7.45 | 08/11/2010 | C | 8,443 | (11) | 08/20/2016 | Common Stock | 8,443(12) | (12) | 8,443 | D(2) | ||||
Warrant (Right to Buy) | $7.45 | 08/11/2010 | C | 938 | (11) | 08/20/2016 | Common Stock | 938(12) | (12) | 938 | D(6) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The shares of Series A Convertible Preferred Stock, including all accrued and unpaid dividends thereon, owned directly by Battelle Ventures, L.P. ("BVLP"), converted automatically into Common Stock, on a 1-for-8.0149 basis, upon the closing of the Issuer's initial public offering ("IPO"), and had no expiration date. |
2. Reflects the securities of the Issuer directly acquired by BVLP, of which BVP, GP, LLC ("BVPGP") is the general partner. For purposes of this Form 4, BVPGP disclaims ownership of the shares of stock owned by BVLP, except to the extent of its pecuniary interest therein. |
3. BVP GP and IVP GP, LLC ("IVPGP") are under common control; however, under the "rule of three", there are no other beneficial owners. |
4. The shares of Series B Convertible Preferred Stock, including all accrued and unpaid dividends thereon, owned directly by Battelle Ventures, L.P. ("BVLP"), converted automatically into Common Stock, on a 1-for-8.0149 basis, upon the closing of the Issuer's IPO, and had no expiration date. |
5. The shares of Series A Convertible Preferred Stock, including all accrued and unpaid dividends thereon, owned directly by Innovation Valley Partners, L.P. ("IVLP"), converted automatically into Common Stock, on a 1-for-8.0149 basis, upon the closing of the Issuer's IPO, and had no expiration date. |
6. Reflects the securities of the issuer directly acquired by IVLP, of which IVPGP is the general partner. For purposes of this Form 4, IVPGP disclaims ownership of the shares of stock owned by IVLP, except to the extent of its pecuniary interest therein. |
7. The shares of Series B Convertible Preferred Stock, including all accrued and unpaid dividends thereon, owned directly by IVLP, converted automatically into Common Stock, on a 1-for-8.0149 basis, upon the closing of the Issuer's IPO, and had no expiration date. |
8. This Convertible Promissory Note, including all accrued and unpaid interest thereon, converted automatically into Common Stock upon the closing of the Issuer's IPO. |
9. Reflects accrued and unpaid dividends on the Series A Convertible Preferred Stock and Series B Convertible Preferred Stock, which was automatically converted into Common Stock upon the closing of the Issuer's IPO. |
10. Reflects securities acquired on the date of the Issuer's IPO. |
11. Immediately exercisable. |
12. Series B Convertible Preferred Stock Warrants held by the reporting persons and previously reported on a Form 3 were converted automatically into warrants to purchase shares of Common Stock upon the closing of the Issuer's IPO. |
Remarks: |
Joint Filer Information is attached as Exhibit 99. |
/s/ Morton Collins - BVP GP, LLC | 08/13/2010 | |
/s/ Morton Collins - Battelle Ventures, L.P. | 08/13/2010 | |
/s/ Morton Collins - Innovation Valley Partners, L.P. | 08/13/2010 | |
/s/ Morton Collins - IVP GP, LLC | 08/13/2010 | |
** 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 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). | ||
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. |