SEC FORM 4

SEC Form 4

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^*

Haas Ken

(Last)

(First)

(Middle)

C/O ABINGWORTH BIOVENTURES

3000 SAND HILL RD., B4-135

(Street)

MENLO PARK

94025

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
ZOGENIX, INC. [ ZGNX ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
11/29/2010

4. 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 Acquired, Disposed of, or Beneficially Owned
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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	11/29/2010		C		901,363	A	⁽¹⁾	901,363	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Common Stock	11/29/2010		C		535,643	A	⁽¹⁾	1,437,006	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Common Stock	11/29/2010		C⁽³⁾		382,613	A	⁽³⁾	1,819,619	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Common Stock	11/29/2010		P		495,750	A	$4	2,315,369	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Common Stock	11/29/2010		C		7,727	A	⁽¹⁾	7,727	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives L.P.
Common Stock	11/29/2010		C		4,592	A	⁽¹⁾	12,319	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives L.P.
Common Stock	11/29/2010		C⁽³⁾		3,280	A	⁽³⁾	15,599	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives L.P.
Common Stock	11/29/2010		P		4,250	A	$4	19,849	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives L.P.

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Series A-2 Convertible Preferred Stock	⁽¹⁾	11/29/2010		C			9,013,631	⁽¹⁾	⁽¹⁾	Common Stock	901,363	⁽¹⁾	0	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Series B Convertible Preferred Stock	⁽¹⁾	11/29/2010		C			5,356,437	⁽¹⁾	⁽¹⁾	Common Stock	535,643	⁽¹⁾	0	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
8% Convertible Promissory Note	⁽⁵⁾	11/29/2010		C⁽⁵⁾			382,613	⁽⁵⁾	⁽⁵⁾	Common Stock	382,613	⁽⁵⁾	0	I⁽²⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV LP
Series A-2 Convertible Preferred Stock	⁽¹⁾	11/29/2010		C			77,278	⁽¹⁾	⁽¹⁾	Common Stock	7,727	⁽¹⁾	0	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives LP
Series B Convertible Preferred Stock	⁽¹⁾	11/29/2010		C			45,930	⁽¹⁾	⁽¹⁾	Common Stock	4,592	⁽¹⁾	0	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives LP
8% Convertible Promissory Note	⁽⁵⁾	11/29/2010		C⁽⁵⁾			3,280	⁽⁵⁾	⁽⁵⁾	Common Stock	3,280	⁽⁵⁾	0	I⁽³⁾⁽⁴⁾⁽⁶⁾	By Abingworth Bioventures IV Executives LP

Explanation of Responses:

1. Each of the Series A-2 Convertible Preferred Stock and the Series B Convertible Preferred Stock automatically converted to Common Stock at the closing of the Issuer's initial public offering on November 29, 2010 at a conversion ratio one share of Common Stock for every ten shares of Series A-2 Convertible Preferred Stock and one share of Common Stock for every ten shares of Series B Convertible Preferred Stock, as applicable, rounded down to the next whole number, for no additional consideration.

2. These securities are owned of record by Abingworth Bioventures IV LP ("AB IV").

3. These securities are owned of record by Abingworth Bioventures IV Executives L.P. ("AB IV Executives")

4. Abingworth Management Ltd. ("AM Ltd.") serves as investment manager of each of AB IV and AB IV Executives and may be deemed to share voting and dispositive power with respect to the securities owned by AB IV and AB IV Executives. The Reporting Person is a venture partner of Abingworth Management, Inc., and in such capacity may be deemed to beneficially own the securities owned of record by AB IV and AB IV Executives, but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.

5. The principle of the Note and accrued interest thereon was automatically converted upon the closing of the Issuer's initial public offering on November 29, 2010 into shares of Common Stock at a conversion price equal to $4.00 per share, the per share price of the Common Stock sold in the Issuer's initial public offering.

6. The filing of this statement shall not be deemed an admission that, for the purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Person is the beneficial owner of equity securities covered by this statement

	/s/ Ken Haas	11/29/2010
	** 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).
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