0001209191-18-047750.txt : 20180821 0001209191-18-047750.hdr.sgml : 20180821 20180821162402 ACCESSION NUMBER: 0001209191-18-047750 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180820 FILED AS OF DATE: 20180821 DATE AS OF CHANGE: 20180821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LVP GP III, LLC CENTRAL INDEX KEY: 0001581469 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030562 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (415) 399-9880 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LATTERELL PATRICK F CENTRAL INDEX KEY: 0001201886 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030563 BUSINESS ADDRESS: STREET 1: 9373 TOWNE CENTRE DRIVE STREET 2: SUITE 100 CITY: SAN DIEGO STATE: CA ZIP: 92121-3088 BUSINESS PHONE: 8586461100 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LVP III Associates, L.P. CENTRAL INDEX KEY: 0001341508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030564 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (415) 399-9880 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 FORMER NAME: FORMER CONFORMED NAME: LVP III Associates L P DATE OF NAME CHANGE: 20051014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LVP III Partners LP CENTRAL INDEX KEY: 0001384618 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030565 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-399-9880 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LVP LIFE SCIENCE VENTURES III L.P. CENTRAL INDEX KEY: 0001332654 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030566 BUSINESS ADDRESS: STREET 1: 455 MARKET ST., SUITE 2220 CITY: SAN FRANCISCO STATE: CA ZIP: 94105-2446 BUSINESS PHONE: 415-399-9880 MAIL ADDRESS: STREET 1: 455 MARKET ST., SUITE 2220 CITY: SAN FRANCISCO STATE: CA ZIP: 94105-2446 FORMER NAME: FORMER CONFORMED NAME: LATTERELL VENTURE PARTNERS III L P DATE OF NAME CHANGE: 20050708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LVPMC, LLC CENTRAL INDEX KEY: 0001581471 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36075 FILM NUMBER: 181030567 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (415) 399-9880 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evoke Pharma Inc CENTRAL INDEX KEY: 0001403708 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 208447886 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 420 STEVENS AVENUE STREET 2: SUITE 370 CITY: SOLANA BEACH STATE: CA ZIP: 92075 BUSINESS PHONE: 858-345-1494 MAIL ADDRESS: STREET 1: 420 STEVENS AVENUE STREET 2: SUITE 370 CITY: SOLANA BEACH STATE: CA ZIP: 92075 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-08-20 0 0001403708 Evoke Pharma Inc EVOK 0001581469 LVP GP III, LLC 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 0001201886 LATTERELL PATRICK F 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 0001341508 LVP III Associates, L.P. 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 0001384618 LVP III Partners LP 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 0001332654 LVP LIFE SCIENCE VENTURES III L.P. 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 0001581471 LVPMC, LLC 2603 CAMINO RAMON SUITE 200 SAN RAMON CA 94583-4289 0 0 1 0 Common Stock 2018-08-20 4 P 0 465116 2.35 A 1937983 I Directly owned by LVP III Common Stock 2018-08-20 4 P 0 23256 2.35 A 96897 I Directly owned by Associates Common Stock 2018-08-20 4 P 0 11628 2.35 A 48449 I Directly owned by Partners Common Stock 5250 I Directly owned by LVPMC The reported securities are owned directly by each of LVPMC, LLC ("LVPMC"), LVP Life Science Ventures III, L.P. ("LVP III"), LVP III Associates, L.P. ("Associates") and LVP III Partners, L.P. ("Partners"). LVP GP III, LLC ("GP III") is the general partner of LVP III, Associates and Partners. GP III may be deemed to have sole voting power and dispositive power over the shares held by LVP III, Associates and Partners. Each of GP III and Patrick Latterell, the managing member of GP III and the manager of LVPMC, may be deemed to share voting and dispositive power over the reported securities and disclaim beneficial ownership of the reported securities held by LVPMC, LVP III, Associates and Partners except to the extent of any pecuniary interest therein. Patrick F. Latterell, Managing Member of LVP GP III, LLC 2018-08-21 Patrick F. Latterell, Manager of LVPMC, LLC 2018-08-21 Patrick F. Latterell, Managing Member of LVP GP III, LLC, General Partner of LVP III Associates, L.P. 2018-08-21 Patrick F. Latterell, Managing Member of LVP GP III, LLC, General Partner of LVP III Partner, L.P. 2018-08-21 Patrick F. Latterell, Managing Member of LVP GP III, LLC, General Partner of LVP Life Sciences Ventures III, L.P. 2018-08-21 Patrick F. Latterell, Manager of LVPMC, LLC and Managing Member of LVP GP III, LLC the General Partner of LVP Life Science Ventures III, L.P. LVP III Associates, L.P. and LVP III Partners L.P. 2018-08-21