0001209191-14-074256.txt : 20141210
0001209191-14-074256.hdr.sgml : 20141210
20141210175129
ACCESSION NUMBER: 0001209191-14-074256
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141210
FILED AS OF DATE: 20141210
DATE AS OF CHANGE: 20141210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TREVENA INC
CENTRAL INDEX KEY: 0001429560
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1018 WEST 8TH AVENUE, SUITE A
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
BUSINESS PHONE: 610-354-8840
MAIL ADDRESS:
STREET 1: 1018 WEST 8TH AVENUE, SUITE A
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NOHRA GUY P
CENTRAL INDEX KEY: 0001198330
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36193
FILM NUMBER: 141279057
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JANNEY DANIEL
CENTRAL INDEX KEY: 0001198325
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36193
FILM NUMBER: 141279058
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHAMPSI FARAH
CENTRAL INDEX KEY: 0001198321
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36193
FILM NUMBER: 141279059
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alta Partners Management VIII, LLC
CENTRAL INDEX KEY: 0001399894
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36193
FILM NUMBER: 141279060
BUSINESS ADDRESS:
STREET 1: ONE EMBARCADERO CENTER, SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 415-362-4022
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER, SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alta Partners VIII, L.P.
CENTRAL INDEX KEY: 0001399763
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36193
FILM NUMBER: 141279061
BUSINESS ADDRESS:
STREET 1: ONE EMBARCADERO CENTER, SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: 415-362-4022
MAIL ADDRESS:
STREET 1: ONE EMBARCADERO CENTER, SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-12-10
0
0001429560
TREVENA INC
TRVN
0001399763
Alta Partners VIII, L.P.
C/O ALTA PARTNERS,
ONE EMBARCADERO CENTER, 37TH FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001399894
Alta Partners Management VIII, LLC
C/O ALTA PARTNERS,
ONE EMBARCADERO CENTER, 37TH FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001198321
CHAMPSI FARAH
C/O ALTA PARTNERS,
ONE EMBARCADERO CENTER, 37TH FLOOR
SAN FRANCISCO
CA
94111
1
0
1
0
0001198325
JANNEY DANIEL
C/O ALTA PARTNERS,
ONE EMBARCADERO CENTER, 37TH FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
0001198330
NOHRA GUY P
C/O ALTA PARTNERS,
ONE EMBARCADERO CENTER, 37TH FLOOR
SAN FRANCISCO
CA
94111
0
0
1
0
Common Stock
2014-12-10
4
P
0
500000
4.00
A
4390262
I
Direct and Indirect - See Footnote
These shares were purchased by Alta Partners VIII, L.P. ("APVIII").
The securities are held of record by APVIII. Alta Partners Management VIII, LLC ("APMVIII") is the general partner of APVIII. Guy Nohra, Daniel Janney and Farah Champsi are managing directors of APMVIII and exercise shared voting and investment power with respect to the shares onwed by APVIII. Each of the reporting persons disclaims beneficial ownership of such securities, except to the extent of his, her or its proportionate pecuniary interest therein. Ms. Champsi is also a director of the issuer.
/s/Derek Colla, Attorney-in-Fact
2014-12-10
Derek Colla, Attorney-in-Fact
2014-12-10
Derek Colla, Attorney-in-Fact
2014-12-10
Derek Colla, Attorney-in-Fact
2014-12-10
Derek Colla, Attorney-in-Fact
2014-12-10