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*
Lis William

(Last) (First) (Middle)
C/O PORTOLA PHARMACEUTICALS, INC.
270 E. GRAND AVENUE, SUITE 22

(Street)
SOUTH SAN FRANCISCO CA 94080

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/21/2013
3. Issuer Name and Ticker or Trading Symbol
PORTOLA PHARMACEUTICALS INC [ PTLA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive 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)
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
Stock Option (Right to Buy) (1) 06/17/2018 Common Stock 101,095 $5.3 D
Stock Option (Right to Buy) (2) 12/22/2018 Common Stock 25,429 $4.1 D
Stock Option (Right to Buy) (3) 02/24/2019 Common Stock 35,069 $5.1 D
Stock Option (Right to Buy) (4) 06/08/2019 Common Stock 1,956 $5.1 D
Stock Option (Right to Buy) (5) 02/23/2020 Common Stock 39,999 $9 D
Stock Option (Right to Buy) (6) 07/13/2020 Common Stock 211,820 $9 D
Stock Option (Right to Buy) (7) 03/22/2021 Common Stock 118,834 $8.5 D
Stock Option (Right to Buy) (8) 03/07/2022 Common Stock 204,299 $7 D
Stock Option (Right to Buy) (9) 02/26/2023 Common Stock 100,000 $9.8 D
Explanation of Responses:
1. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after May 13, 2008; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of May 13, 2008, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
2. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after December 9, 2008; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of December 9, 2008, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
3. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after February 25, 2009; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of February 25, 2009, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
4. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after July 2, 2009; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of July 2, 2009, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
5. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after December 9, 2009; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of December 9, 2009, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
6. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after May 1, 2010; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of May 1, 2010, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
7. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after March 23, 2011; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of March 23, 2011, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
8. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after March 8, 2012; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of March 8, 2012, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
9. The Option shares shall vest as follows: one-fourth (1/4th) of the shares vest one year after January 1, 2013; the balance of the shares vest in a series of thirty-six (36) successive equal monthly installments measured from the first anniversary of January 1, 2013, subject to Reporting Person's Continuous Service (as defined in the Issuer's 2003 Equity Incentive Plan) as of each such date.
Remarks:
/s/ Sally A. Kay, as attorney-in-fact 05/21/2013
** 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.
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