0001181431-13-019216.txt : 20130327 0001181431-13-019216.hdr.sgml : 20130327 20130327200406 ACCESSION NUMBER: 0001181431-13-019216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130325 FILED AS OF DATE: 20130327 DATE AS OF CHANGE: 20130327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lubner David Charles CENTRAL INDEX KEY: 0001572000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35837 FILM NUMBER: 13721232 MAIL ADDRESS: STREET 1: C/O TETRAPHASE PHARMACEUTICALS, INC. STREET 2: 480 ARSENAL STREET, SUITE 110 CITY: WATERTOWN STATE: MA ZIP: 02472 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TETRAPHASE PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001373707 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 480 ARSENAL STREET STREET 2: SUITE 110 CITY: WATERTOWN STATE: MA ZIP: 02472 BUSINESS PHONE: 617.715.3600 MAIL ADDRESS: STREET 1: 480 ARSENAL STREET STREET 2: SUITE 110 CITY: WATERTOWN STATE: MA ZIP: 02472 4 1 rrd374223.xml FORM 4 X0306 4 2013-03-25 0 0001373707 TETRAPHASE PHARMACEUTICALS INC TTPH 0001572000 Lubner David Charles 480 ARSENAL ST. SUITE 110 WATERTOWN MA 02472 0 1 1 0 SVP and CFO Common Stock 2013-03-25 4 C 0 1379 A 12758 D Common Stock 2013-03-25 4 C 0 1799 A 14557 D Common Stock 2013-03-25 4 C 0 3096 A 18523 D Common Stock 2013-03-25 4 C 0 4023 A 22546 D Series A-1 Convertible Participating Preferred Stock 2013-03-25 4 C 0 40000 0 D Common Stock 1379 0 D Series A-2 Convertible Participating Preferred Stock 2013-03-25 4 C 0 52173 0 D Common Stock 1799 0 D Series B Convertible Participating Preferred Stock 2013-03-25 4 C 0 115000 0 D Common Stock 3966 0 D Series C Convertible Participating Preferred Stock 2013-03-25 4 C 0 116686 0 D Common Stock 4023 0 D The Series A-1, Series A-2, Series B and Series C Convertible Preferred Stock converted into Common Stock on a 1-for-29 basis upon the closing of the issuer's initial public offering without payment of consideration. Not Applicable /s/ David Lubner 2013-03-27