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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
SIGNET HEALTHCARE PARTNERS ACCREDITED PARTNERSHIP III LP

(Last) (First) (Middle)
152 W 57, 19TH FLOOR

(Street)
NEW YORK NY 10019

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/18/2014
3. Issuer Name and Ticker or Trading Symbol
Pfenex Inc. [ PFNX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 81,475 D(1)
Common Stock 299,392 D(2)
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
Series A-2 Participating Preferred Stock (3) (3) Common Stock 684,665 $0.00(3) D(1)
Series A-2 Participating Preferred Stock (3) (3) Comon Stock 2,515,903 $0.00(3) D(2)
1. Name and Address of Reporting Person*
SIGNET HEALTHCARE PARTNERS ACCREDITED PARTNERSHIP III LP

(Last) (First) (Middle)
152 W 57, 19TH FLOOR

(Street)
NEW YORK NY 10019

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SIGNET HEALTHCARE PARTNERS QP PARTNERSHIP II LP

(Last) (First) (Middle)
152 W 57TH STREET, 19TH FLOOR

(Street)
NEW YORK NY 10019

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Owned by Signet Healthcare Partners Accredited Partnership III, LP. and indirectly by Signet Healthcare GP III, LP, the general partner of Signet Healthcare Partners Accredited Partnership III, LP; Signet Healthcare Partners LP, the management company for Signet Healthcare Partners Accredited Partnership III, LP; and Signet Holdings, LLC, the general partner of Signet Healthcare GP III, LP and Signet Healthcare Partners, LP. Signet Healthcare Partners, LP, Signet Healthcare GP III, LP, and Signet Holdings, LLC disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein, if any.
2. Owned by Signet Healthcare Partners QP Partnership III, LP. and indirectly by Signet Healthcare GP III, LP, the general partner of Signet Healthcare Partners QP Partnership III, LP; Signet Healthcare Partners, LP, the management company for Signet Healthcare Partners QP Partnership III, LP; and Signet Holdings, LLC, the general partner of Signet Healthcare GP III, LP and Signet Healthcare Partners, LP. Signet Healthcare Partners, LP, Signet Healthcare GP III, LP, and Signet Holdings, LLC disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein, if any.
3. Each share of Series A-2 Participating Preferred Stock will automatically convert into 1 share of the Issuer's Common Stock upon the closing of the Issuer's initial public offering without payment of further consideration. The shares have no expiration date.
Remarks:
This is a joint filing by Signet Healthcare Partners Accredited Partnership III, LP, Signet Healthcare Partners QP Partnership III, LP., Signet Healthcare GP III, LP, Signet Healthcare Partners LP, and Signet Holdings, LLC. Signet Healthcare Partners Accredited Partnership III, LP is the designated filer for Signet Healthcare Partners QP Partnership III, LP. Signet Healthcare GP III, LP, Signet Healthcare Partners LP, and Signet Holdings, LLC. The address of each filer is the same as the designated filer. See notes 1 and 2 above. Signet Healthcare Partners, LP, Signet Healthcare GP III, LP, and Signet Holdings, LLC disclaim beneficial ownership of such shares except to the extent of their pecuniary interest therein, if any.
James C. Gale, Chief Investment Officer of Signet Healthcare PartnersAcredited Partnership , LP 07/18/2014
James C. Gale, Chief Investment Officer of Signet Healthcare Partner QP Partnership, LP 07/18/2014
James C. Gale, Manager of Signet Holdings, LLC, general partner of Signet Healthcare Partners, LP and Signet Healthcare GP III, LLC 07/18/2014
** 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.