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*
VERSANT VENTURES I LLC

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/24/2015
3. Issuer Name and Ticker or Trading Symbol
GLAUKOS Corp [ GKOS ]
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)
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 Convertible Preferred Stock (1) (1) Common Stock 552,000 (1) I Through Versant Venture Capital I, L.P.(3)
Series A Convertible Preferred Stock (1) (1) Common Stock 12,000 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series A Convertible Preferred Stock (1) (1) Common Stock 25,200 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series A Convertible Preferred Stock (1) (1) Common Stock 10,800 (1) I Through Versant Side Fund I, L.P.(6)
Series B Convertible Preferred Stock (1) (1) Common Stock 851,852 (1) I Through Versant Venture Capital I, L.P.(3)
Series B Convertible Preferred Stock (1) (1) Common Stock 18,518 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series B Convertible Preferred Stock (1) (1) Common Stock 38,888 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series B Convertible Preferred Stock (1) (1) Common Stock 16,666 (1) I Through Versant Side Fund I, L.P.(6)
Series C Convertible Preferred Stock (1) (1) Common Stock 479,714 (1) I Through Versant Venture Capital I, L.P.(3)
Series C Convertible Preferred Stock (1) (1) Common Stock 10,428 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series C Convertible Preferred Stock (1) (1) Common Stock 21,900 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series C Convertible Preferred Stock (1) (1) Common Stock 9,386 (1) I Through Versant Side Fund I, L.P.(6)
Series D Convertible Preferred Stock (1) (1) Common Stock 548,464 (1) I Through Versant Venture Capital I, L.P.(3)
Series D Convertible Preferred Stock (1) (1) Common Stock 11,805 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series D Convertible Preferred Stock (1) (1) Common Stock 25,226 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series D Convertible Preferred Stock (1) (1) Common Stock 10,791 (1) I Through Versant Side Fund I, L.P.(6)
Series E Convertible Preferred Stock (1) (1) Common Stock 163,592 (1) I Through Versant Venture Capital I, L.P.(3)
Series E Convertible Preferred Stock (1) (1) Common Stock 3,420 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series E Convertible Preferred Stock (1) (1) Common Stock 7,684 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series E Convertible Preferred Stock (1) (1) Common Stock 3,271 (1) I Through Versant Side Fund I, L.P.(6)
Series F Convertible Preferred Stock (1) (1) Common Stock 273,337 (1) I Through Versant Venture Capital I, L.P.(3)
Series F Convertible Preferred Stock (1) (1) Common Stock 5,715 (1) I Through Versant Affiliates Fund I-A, L.P.(4)
Series F Convertible Preferred Stock (1) (1) Common Stock 12,840 (1) I Through Versant Affiliates Fund I-B, L.P.(5)
Series F Convertible Preferred Stock (1) (1) Common Stock 5,465 (1) I Through Versant Side Fund I, L.P.(6)
Series D Convertible Preferred Stock Warrant (right to buy) (2) (2) Common Stock 27,612 (2) I Through Versant Venture Capital I, L.P.(3)
Series D Convertible Preferred Stock Warrant (right to buy) (2) (2) Common Stock 577 (2) I Through Versant Affiliates Fund I-A, L.P.(4)
Series D Convertible Preferred Stock Warrant (right to buy) (2) (2) Common Stock 1,296 (2) I Through Versant Affiliates Fund I-B, L.P.(5)
Series D Convertible Preferred Stock Warrant (right to buy) (2) (2) Common Stock 552 (2) I Through Versant Side Fund I, L.P.(6)
1. Name and Address of Reporting Person*
VERSANT VENTURES I LLC

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
VERSANT VENTURE CAPITAL I LP

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
VERSANT AFFILIATES FUND I-A LP

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
VERSANT AFFILIATES FUND I-B LP

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
VERSANT SIDE FUND I LP

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
ATWOOD BRIAN G

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
COLELLA SAMUEL D

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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*
JAFFE ROSS A MD

(Last) (First) (Middle)
C/O VERSANT VENTURES
ONE SANSOME STREET, SUITE 3630

(Street)
SAN FRANCISCO CA 94104

(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 shares of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock and Series F Convertible Preferred Stock shall automatically convert into shares of common stock on a 1:1 basis immediately prior to the consummation of the Issuer's initial public offering ("IPO") and have no expiration date.
2. The warrants to acquire Series D Convertible Preferred Stock shall automatically net exercise immediately prior to consummation of the IPO at the IPO price per share and the shares of Series D Convertible Preferred Stock received thereupon shall automatically convert into shares of common stock as described in footnote (1).
3. The shares and warrants are held by Versant Venture Capital I, L.P., a Delaware limited partnership ("VVC I"). Versant Ventures I, LLC, a Delaware limited liability company ("VV I'') serves as the sole general partner of VVC I. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson and Barbara N. Lubash are directors and/or members of VV I and share voting and dispositive power over the shares held by VVC I; however, they disclaim beneficial ownership of the shares held by such entities except to the extent of their pecuniary interests therein. William J. Link, Ph.D. is a director of the Issuer and, accordingly, files separate Section 16 reports.
4. The shares and warrants are held by Versant Affiliates Fund I-A, L.P., a Delaware limited partnership ("VAF I-A''). VV I serves as the sole general partner of VAF I-A. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson and Barbara N. Lubash are directors and/or members of VV I and share voting and dispositive power over the shares held by VAF I-A; however, they disclaim beneficial ownership of the shares held by such entities except to the extent of their pecuniary interests therein. William J. Link, Ph.D. is a director of the Issuer and, accordingly, files separate Section 16 reports.
5. The shares and warrants are held by Versant Affiliates Fund I-B, L.P., a Delaware limited partnership ("VAF I-B''). VV I serves as the sole general partner of VAF I-B. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson and Barbara N. Lubash are directors and/or members of VV I and share voting and dispositive power over the shares held by VAF I-B; however, they disclaim beneficial ownership of the shares held by such entities except to the extent of their pecuniary interests therein. William J. Link, Ph.D. is a director of the Issuer and, accordingly, files separate Section 16 reports.
6. The shares and warrants are held by Versant Side Fund I, L.P., a Delaware limited partnership ("VSF I''). VV I serves as the sole general partner of VSF I. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson and Barbara N. Lubash are directors and/or members of VV I and share voting and dispositive power over the shares held by VSF I; however, they disclaim beneficial ownership of the shares held by such entities except to the extent of their pecuniary interests therein. William J. Link, Ph.D. is a director of the Issuer and, accordingly, files separate Section 16 reports.
Remarks:
Form 1 of 2
/s/ Robin L. Praeger, Attorney-in-Fact 06/24/2015
** 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).
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