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*
3D Investment Partners Pte. Ltd.

(Last) (First) (Middle)
250 NORTH BRIDGE ROAD
#13-01 RAFFLES CITY TOWER

(Street)
SINGAPORE U0 179101

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/11/2021
3. Issuer Name and Ticker or Trading Symbol
MEDICINOVA INC [ MNOV ]
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)
Common Stock 5,502,047(1) I As Investment Manager to 3DOMF
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
Equity Swap (2) (2) Common Stock 456,637 (2) I As Investment Manager to 3DOMF
1. Name and Address of Reporting Person*
3D Investment Partners Pte. Ltd.

(Last) (First) (Middle)
250 NORTH BRIDGE ROAD
#13-01 RAFFLES CITY TOWER

(Street)
SINGAPORE U0 179101

(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*
3D Opportunity Master Fund

(Last) (First) (Middle)
C/O MAPLES CORPORATE SERVICES LIMITED
PO BOX 309, UGLAND HOUSE

(Street)
GRAND CAYMAN E9 KY1-1104

(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. See Footnote 1 in Exhibit 99.1.
2. See Footnote 2 in Exhibit 99.1.
/s/ Sai Fai Yip, Director for 3D Investment Partners Pte. Ltd 01/21/2021
/s/ Sai Fai Yip, Director for 3D Opportunity Master Fund 01/21/2021
** 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.