0001209191-15-055999.txt : 20150624 0001209191-15-055999.hdr.sgml : 20150624 20150624175948 ACCESSION NUMBER: 0001209191-15-055999 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150623 FILED AS OF DATE: 20150624 DATE AS OF CHANGE: 20150624 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACELRX PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001427925 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 351 GALVESTON DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 650-216-3500 MAIL ADDRESS: STREET 1: 351 GALVESTON DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Afable Richard CENTRAL INDEX KEY: 0001594021 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35068 FILM NUMBER: 15950146 MAIL ADDRESS: STREET 1: C/O COVENANT HEALTH NETWORK STREET 2: 3345 MICHELSON DRIVE, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92612 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-23 0 0001427925 ACELRX PHARMACEUTICALS INC ACRX 0001594021 Afable Richard 3345 MICHELSON DRIVE, SUITE 100 IRVINE CA 92612 1 0 0 0 Common Stock (Right to Buy) 4.08 2015-06-23 4 A 0 15000 0.00 A 2015-07-23 2025-06-22 Common Stock 15000 15000 D Issued pursuant to the 2011 Equity Incentive Plan. The shares subject to the option vest as follows: 1/24th of the shares subject to the option vest in equal monthly installments over 24 months, subject to Optionee's Continuous Service on the Company's Board of Directors. 100% Acceleration upon Change of Control. /s/ Martha Adler, Attorney-In-Fact 2015-06-24