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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Aegerion Pharmaceuticals, Inc. [ AEGR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/27/2010 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 10/27/2010 | C | 1,086,336 | A | (1) | 1,086,336 | D(2)(3) | |||
Common Stock | 10/27/2010 | C | 379,545 | A | (4) | 1,465,881 | D(2)(3) | |||
Common Stock | 10/27/2010 | C | 700,050 | A | $7.6(5) | 2,165,931 | D(2)(3) | |||
Common Stock | 10/27/2010 | P | 289,236 | A | $9.5 | 2,455,167 | D(2)(3) | |||
Common Stock | 10/27/2010 | C | 72,957 | A | (1) | 72,957 | D(2)(6) | |||
Common Stock | 10/27/2010 | C | 25,490 | A | (4) | 98,447 | D(2)(6) | |||
Common Stock | 10/27/2010 | C | 47,010 | A | $7.6(5) | 145,457 | D(2)(6) | |||
Common Stock | 10/27/2010 | P | 19,425 | A | $9.5 | 164,882 | D(2)(6) | |||
Common Stock | 10/27/2010 | C | 26,771 | A | (1) | 26,771 | D(2)(7) | |||
Common Stock | 10/27/2010 | C | 9,353 | A | (4) | 36,124 | D(2)(7) | |||
Common Stock | 10/27/2010 | C | 17,250 | A | $7.6(5) | 53,374 | D(2)(7) | |||
Common Stock | 10/27/2010 | P | 7,128 | A | $9.5 | 60,502 | D(2)(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Convertible Prefered Stock | (1) | 10/27/2010 | C | 2,806,991 | (8) | (8) | Common Stock | 1,086,336 | $0.00 | 0 | D(2)(3) | ||||
Series A Convertible Prefered Stock | (1) | 10/27/2010 | C | 188,514 | (8) | (8) | Common Stock | 72,957 | $0.00 | 0 | D(2)(6) | ||||
Series A Convertible Prefered Stock | (1) | 10/27/2010 | C | 69,176 | (8) | (8) | Common Stock | 26,771 | $0.00 | 0 | D(2)(7) | ||||
Series B Convertible Preferred Stock | (4) | 10/27/2010 | C | 621,923 | (9) | (9) | Common Stock | 379,545 | $0.00 | 0 | D(2)(3) | ||||
Series B Convertible Preferred Stock | (4) | 10/27/2010 | C | 41,768 | (9) | (9) | Common Stock | 25,490 | $0.00 | 0 | D(2)(6) | ||||
Series B Convertible Preferred Stock | (4) | 10/27/2010 | C | 15,327 | (9) | (9) | Common Stock | 9,353 | $0.00 | 0 | D(2)(7) | ||||
Senior Subordinated Convertible Promissory Notes | $7.6(5) | 10/27/2010 | C | $5,320,408.54 | (10) | 12/31/2011 | Common Stock | 700,050 | $0.00 | $0.00 | D(2)(3) | ||||
Senior Subordinated Convertible Promissory Notes | $7.6(5) | 10/27/2010 | C | $357,311.91 | (10) | 12/31/2011 | Common Stock | 47,010 | $0.00 | $0.00 | D(2)(6) | ||||
Senior Subordinated Convertible Promissory Notes | $7.6(5) | 10/27/2010 | C | $131,117.33 | (10) | 12/31/2011 | Common Stock | 17,250 | $0.00 | $0.00 | D(2)(7) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Upon the closing of the Issuer's initial public offering on October 27, 2010, each share of Series A Convertible Preferred Stock (the "Series A Shares"), plus accrued dividends, automatically converted into shares of common stock of the Issuer in accordance with the terms of the Issuer's Third Amended and Restated Certificate of Incorporation. Each Series A Share converted into 0.38701117412 shares of common stock. |
2. Alta BioPharma Management III, LLC ("ABMIII") is the general partner of ABPIII and the managing limited partner of Alta BioPharma Partners III GmbH & Co. Beteiligungs KG ("ABPIIIKG"). Jean Deleage, Farah Champsi, Edward Penhoet and Edward Hurwitz are the directors of ABMIII and managers of Alta Embarcadero BioPharma Partners III, LLC ("AEBPIII"). Alison Kiley, a director of the Issuer, is a member of ABMIII and may be deemed to share investment power over the securities of the Issuer held by ABPIII, ABPIIIKG and AEBPIII with the directors of ABMIII and managers of AEBPIII. Each of Dr. Deleage, Ms. Champsi, Dr. Penhoet and Mr. Hurwitz disclaim beneficial ownership of such securities except to the extent of his or her pecuniary interest therein. |
3. These securities are owned directly by ABPIII. |
4. Upon the closing of the Issuer's initial public offering on October 27, 2010, each share of Series B Convertible Preferred Stock (the "Series B Shares"), plus accrued dividends, automatically converted into shares of common stock of the Issuer in accordance with the terms of the Issuer's Third Amended and Restated Certificate of Incorporation. Each Series B Share converted into 0.61027657931 basis of common stock. |
5. The outstanding principal and accrued and unpaid interest on these Convertible Notes was automatically converted into shares of Common Stock upon the closing of the Issuer's initial public offering at $7.60 per share, which is equal to 80% of the Issuer's initial public offering price per share. |
6. These securities are owned directly by ABPIIIKG. |
7. These securities are owned directly by AEBPIII. |
8. The Series A Shares were convertible at any time, at the holder's election, and automatically upon consummation of the Issuer's initial public offering and had no expiration date. |
9. The Series B Shares were convertible at any time, at the holder's election, and automatically upon consummation of the Issuer's initial public offering and had no expiration date. |
10. The Convertible Notes were issued on September 2, 2008, December 11, 2008, July 2, 2009, January 28, 2010, June 14, 2010, August 13, 2010 and October 1, 2010. Any outstanding principal amount and accrued but unpaid interest thereon was automatically convertible into shares of capital stock of the Issuer upon the consummation of specified sale transactions involving the securities of the Issuer, including an initial public offering of the Issuer's common stock meeting certain conditions. |
Remarks: |
By Alta BioPharma Management Partners III, LLC /s/ Jean Deleage, Director | 10/27/2010 | |
/s/ Jean Deleage, Director | 10/27/2010 | |
by Alta BioPharma Management Partners III, LLC /s/ Jean Deleage, Director | 10/27/2010 | |
/s/ Jean Deleage, Manager | 10/27/2010 | |
/s/ Jean Deleage | 10/27/2010 | |
/s/ Farah Champsi | 10/27/2010 | |
/s/ Edward Penhoet | 10/27/2010 | |
/s/ Edward Hurwitz | 10/27/2010 | |
** 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). | ||
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. |