0001209191-23-033459.txt : 20230601 0001209191-23-033459.hdr.sgml : 20230601 20230601194640 ACCESSION NUMBER: 0001209191-23-033459 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230530 FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Eric W CENTRAL INDEX KEY: 0001576244 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39538 FILM NUMBER: 23986277 MAIL ADDRESS: STREET 1: VALENCE LIFE SCIENCES LLC STREET 2: 500 PARK AVENUE 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CalciMedica, Inc. CENTRAL INDEX KEY: 0001534133 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 452120079 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 COAST BOULEVARD SOUTH STREET 2: SUITE 307 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: 858-952-5500 MAIL ADDRESS: STREET 1: 505 COAST BOULEVARD SOUTH STREET 2: SUITE 307 CITY: LA JOLLA STATE: CA ZIP: 92037 FORMER COMPANY: FORMER CONFORMED NAME: CalciMedica, Inc. /DE/ DATE OF NAME CHANGE: 20230322 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG VISION, INC. DATE OF NAME CHANGE: 20170717 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG, Inc. DATE OF NAME CHANGE: 20150303 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-05-30 0 0001534133 CalciMedica, Inc. CALC 0001576244 Roberts Eric W C/O CALCIMEDICA, INC. 505 COAST S. BLVD. #202 LA JOLLA CA 92037 1 1 1 0 Chief Business Officer 0 Common Stock 2023-05-30 4 P 0 2000 3.8616 A 8000 I By Oppenheimer & Co Inc. Custodian FBO Eric W Roberts Roth IRA Common Stock 8500 D Common Stock 1800 I By FMTC Custodian - Roth IRA FBO Eric W. Roberts Common Stock 10661 I By IRA Financial Trust Company CFBO Eric W. Roberts Common Stock 356989 I By Valence Investments SPV IV, LLC Common Stock 66228 I By Valence Investments SPV V, LLC Common Stock 316109 I By Valence Investments SPV VI, LLC The Reporting Person, a co-founder and managing director of Valence Investments SPV IV, LLC ("Valence IV"), Valence Investments SPV V, LLC ("Valence V") and Valence Investments SPV VI, LLC (Valence VI), may be deemed to beneficially own the securities held by Valence IV, Valence V and Valence VI (the "Valence Securities"). The Reporting Person disclaims beneficial ownership of the Valence Securities except to the extent of his pecuniary interest therein. By John Dunn, Attorney-in-Fact 2023-06-01