-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QqZX5NniBDlE+EfOGGCWmAErtQQ70FQ3ZqFlYlqqAaLSRb2O3EYWZB4usJ9DiliC 6pUwyfudMeScPcW+hlmfIw== 0001181431-10-058037.txt : 20101129 0001181431-10-058037.hdr.sgml : 20101129 20101129214832 ACCESSION NUMBER: 0001181431-10-058037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101129 FILED AS OF DATE: 20101129 DATE AS OF CHANGE: 20101129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ZOGENIX, INC. CENTRAL INDEX KEY: 0001375151 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 205300780 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12671 HIGH BLUFF DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858) 259-1165 MAIL ADDRESS: STREET 1: 12671 HIGH BLUFF DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92130 FORMER COMPANY: FORMER CONFORMED NAME: ZOGENIX INC DATE OF NAME CHANGE: 20060911 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARNER CAM L CENTRAL INDEX KEY: 0001024007 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34962 FILM NUMBER: 101220496 MAIL ADDRESS: STREET 1: PO BOX 675866 CITY: RANCHO SANTE FE STATE: CA ZIP: 92067 4 1 rrd292251.xml FORM 4 X0303 4 2010-11-29 0 0001375151 ZOGENIX, INC. ZGNX 0001024007 GARNER CAM L C/O ZOGENIX, INC. 12671 HIGH BLUFF DR., SUITE 200 SAN DIEGO CA 92130 1 0 0 0 Common Stock 2010-11-29 4 C 0 10000 A 10000 I By Garner Investments, LLC Common Stock 2010-11-29 4 P 0 30000 4.00 A 40000 I By Garner Investments, LLC Series A-1 Convertible Preferred Stock 2010-11-29 4 C 0 100000 D Common Stock 10000 0 I By Garner Investments, LLC The Series A-1 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-1 Convertible Preferred Stock, rounded down to the next whole number, for no additional consideration. The Reporting Person is the managing member of Garner Investments, LLC. /s/ Trisha Millican, Attorney-in-Fact for Cam L. Garner 2010-11-29 -----END PRIVACY-ENHANCED MESSAGE-----