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*
Mehra Anand

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/31/2014
3. Issuer Name and Ticker or Trading Symbol
MARINUS PHARMACEUTICALS INC [ MRNS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X 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)
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 Preferred Stock (1) (1) Common Stock 494,161 (1) I See footnote(2)
Series A Preferred Stock (1) (1) Common Stock 97,907 (1) I See footnote(3)
Series A Preferred Stock (1) (1) Common Stock 6,736 (1) I See footnote(4)
Series B Preferred Stock (1) (1) Common Stock 322,913 (1) I See footnote(2)
Series B Preferred Stock (1) (1) Common Stock 63,978 (1) I See footnote(3)
Series B Preferred Stock (1) (1) Common Stock 4,402 (1) I See footnote(4)
Series C Preferred Stock (1) (1) Common Stock 317,777 (1) I See footnote(2)
Series C Preferred Stock (1) (1) Common Stock 62,960 (1) I See footnote(3)
Series C Preferred Stock (1) (1) Common Stock 4,332 (1) I See footnote(4)
Preferred Stock Warrant (right to buy) (5) 04/07/2019 Common Stock 80,728(5) $10.86(5) I See footnote(2)
Preferred Stock Warrant (right to buy) (5) 04/07/2019 Common Stock 15,994(5) $10.86(5) I See footnote(3)
Preferred Stock Warrant (right to buy) (5) 04/07/2019 Common Stock 1,100(5) $10.86(5) I See footnote(4)
Stock Option (right to buy) (6) 06/09/2019 Common Stock 15,515 $1.04 D(7)
Stock Option (right to buy) (8) 03/20/2022 Common Stock 27,035 $1.04 D(7)
1. Name and Address of Reporting Person*
Mehra Anand

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SOFINNOVA VENTURE PARTNERS VI L P

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
Sofinnova Venture Partners VI GmbH & Co. KG

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
Sofinnova Venture Affiliates VI LP

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
Sofinnova Management VI, L.L.C.

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
Buatois Eric

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
HEALY JAMES

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
Azan Alain

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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*
POWELL MICHAEL

(Last) (First) (Middle)
C/O SOFINNOVA VENTURES
3000 SAND HILL ROAD, 4-250

(Street)
MENLO PARK CA 94025

(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. The reported securities will automatically convert into shares of common stock upon the closing of the Issuer's initial public offering for no additional consideration and have no expiration.
2. Shares are held by Sofinnova Venture Partners VI, L.P. ("SVP VI"). Sofinnova Management VI, L.L.C. ("SM VI") is the general partner of SVP VI and James I. Healy ("Healy"), Michael F. Powell ("Powell"), Alain L. Azan ("Azan") and Eric P. Buatois ("Buatois"), the managing members of SM VI, and Anand Mehra ("Mehra"), a director of the Issuer, may be deemed to share voting and dispositive power over the shares held by such entities.
3. Shares are held by Sofinnova Venture Partners VI GmbH & Co. KG ("SVP KG"). SM VI is the managing limited partner of SVP KG, and Healy, Powell, Azan and Buatois, the managing members of SM VI, and Mehra, a director of the Issuer, may be deemed to share voting and dispositive power over the shares held by such entities.
4. Shares are held by Sofinnova Venture Affiliates VI, L.P. ("SVA VI"). SM VI is the general partner of SVA VI, and Healy, Powell, Azan and Buatois, the managing members of SM VI, and Mehra, a director of the Issuer, may be deemed to share voting and dispositive power over the shares held by such entities.
5. This warrant is immediately exercisable. The shares of common stock underlying this warrant will be issued assuming automatic net exercise of the warrants on a net-issue basis upon the closing of the Issuer's initial public offering at the initial public offering price. The shares above reflect the total shares underlying the warrants.
6. 25% vested on June 9, 2010; remaining shares vested in equal installments at the end of each of the 36 months thereafter.
7. This option is owned directly by Mr. Mehra.
8. 100% vested on May 1, 2013.
/s/ Nathalie Auber, Attorney-in-Fact for Anand Mehra 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Sofinnova Venture Partners VI, L.P. 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Sofinnova Venture Partners VI GmbH & Co. KG 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Sofinnova Venture Affiliates VI, L.P. 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Sofinnova Management VI, L.L.C. 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Alain Azan 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Eric Buatois 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for James Healy 07/31/2014
/s/ Nathalie Auber, Attorney-in-Fact for Michael Powell 07/31/2014
** 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.