SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DOVEY BRIAN H

(Last) (First) (Middle)
C/O DOMAIN ASSOCIATES, LLC
ONE PALMER SQUARE

(Street)
PRINCETON NJ 08542

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ZOGENIX, INC. [ ZGNX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/29/2010
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/29/2010 C 2,064,781 A (1) 2,064,781 I By Domain Partners VII, L.P.(3)
Common Stock 11/29/2010 C 1,232,861 A (1) 3,297,642 I By Domain Partners VII, L.P.(3)
Common Stock 11/29/2010 C 873,800 A (2) 4,171,442 I By Domain Partners VII, L.P.(3)
Common Stock 11/29/2010 P 2,310,589 A $4 6,482,031 I By Domain Partners VII, L.P.(3)
Common Stock 11/29/2010 C 35,215 A (1) 35,215 I By DP VII Associates, L.P.(3)
Common Stock 11/29/2010 C 21,027 A (1) 56,242 I By DP VII Associates, L.P.(3)
Common Stock 11/29/2010 C 14,903 A (2) 71,145 I By DP VII Associates, L.P.(3)
Common Stock 11/29/2010 P 39,410 A $4 110,555 I By DP VII Associates, L.P.(3)
Common Stock 11/29/2010 C 9,894 A (1) 9,894 I By Domain Partners VI, L.P.(3)
Common Stock 11/29/2010 C 106 A (1) 106 I By DP VI Associates, L.P.(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-1 Preferred Stock (1) 11/29/2010 C 2,064,781 (1) (1) Common Stock 2,064,781 $0 0 I By Domain Partners VII, L.P.(3)
Series B Preferred Stock (1) 11/29/2010 C 1,232,861 (1) (1) Common Stock 1,232,861 $0 0 I By Domain Partners VII, L.P.(3)
Convertible Promissory Notes (2) 11/29/2010 C 873,800 (1) (1) Common Stock 873,800 $0 0 I By Domain Partners VII, L.P.(3)
Series A-1 Preferred Stock (1) 11/29/2010 C 35,215 (1) (1) Common Stock 35,215 $0 0 I By DP VII Associates, L.P.(3)
Series B Preferred Stock (1) 11/29/2010 C 21,027 (1) (1) Common Stock 21,027 $0 0 I By DP VII Associates, L.P.(3)
Convertible Promissory Notes (2) 11/29/2010 C 14,903 (1) (1) Common Stock 14,903 $0 0 I By DP VII Associates, L.P.(3)
Series A-1 Preferred Stock (1) 11/29/2010 C 9,894 (1) (1) Common Stock 9,894 $0 0 I By Domain Partners VI, L.P.(3)
Series A-1 Preferred Stock (1) 11/29/2010 C 106 (1) (1) Common Stock 106 $0 0 I By DP VI Associates, L.P.(3)
Explanation of Responses:
1. All outstanding shares of the Issuer's preferred stock were automatically converted into Common Stock upon the closing of the Issuer's initial public offering (the "IPO"), for no additional consideration.
2. All Convertible Promissory Notes, plus interest accrued thereon through the closing of the IPO, automatically converted into Common Stock upon the closing of the IPO, based on the IPO price of $4.00 per share.
3. The Reporting Person also indirectly beneficially owns 11,000 shares of Common Stock held by Domain Associates, LLC. The Reporting Person is a Managing Member of (i) One Palmer Square Associates VII, LLC, which is the sole general partner of Domain Partners VII, L.P. and DP VII Associates, L.P., (ii) One Palmer Square Associates VI, LLC, which is the sole general partner of Domain Partners VI, L.P. and DP VI Associates, L.P., and (iii) Domain Associates, LLC. Pursuant to Instruction (4)(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his or her pecuniary interest therein and/or that are not actually distributed to him or her.
Remarks:
/s/Kathleen K. Schoemaker, Attorney-in-Fact 12/01/2010
** 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 4 (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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