0000059478-13-000082.txt : 20131121 0000059478-13-000082.hdr.sgml : 20131121 20131121172339 ACCESSION NUMBER: 0000059478-13-000082 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 7 CONFORMED PERIOD OF REPORT: 20130514 FILED AS OF DATE: 20131121 DATE AS OF CHANGE: 20131121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Receptos, Inc. CENTRAL INDEX KEY: 0001463729 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10835 ROAD TO THE CURE STREET 2: SUITE 205 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 652-5712 MAIL ADDRESS: STREET 1: 10835 ROAD TO THE CURE STREET 2: SUITE 205 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: Receptos, Inc. (f.k.a. Receptor Pharmaceuticals Inc.) DATE OF NAME CHANGE: 20090522 FORMER COMPANY: FORMER CONFORMED NAME: Receptor Pharmaceuticals Inc. DATE OF NAME CHANGE: 20090507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lilly Ventures Fund I LLC CENTRAL INDEX KEY: 0001575852 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35900 FILM NUMBER: 131236103 BUSINESS ADDRESS: STREET 1: 115 W WASHINGTON STREET STREET 2: SUITE 1680 SOUTH CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: (317) 429-0140 MAIL ADDRESS: STREET 1: 115 W WASHINGTON STREET STREET 2: SUITE 1680 SOUTH CITY: INDIANAPOLIS STATE: IN ZIP: 46204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LILLY ELI & CO CENTRAL INDEX KEY: 0000059478 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35900 FILM NUMBER: 131236104 BUSINESS ADDRESS: STREET 1: LILLY CORPORATE CTR STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 BUSINESS PHONE: 3172762000 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Torres S. Edward CENTRAL INDEX KEY: 0001552293 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35900 FILM NUMBER: 131236105 MAIL ADDRESS: STREET 1: C/O LILLY VENTURES FUND I LLC STREET 2: 115 W. WASHINGTON ST, STE 1680 SOUTH CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4/A 1 wf-form4a_138507260568530.xml FORM 4/A X0306 4/A 2013-05-14 2013-05-14 0 0001463729 Receptos, Inc. RCPT 0000059478 LILLY ELI & CO LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 0 1 0 0001575852 Lilly Ventures Fund I LLC C/O RECEPTOS, INC. 10835 ROAD TO THE CURE, SUITE 205 SAN DIEGO CA 92121 0 0 1 0 0001552293 Torres S. Edward C/O RECEPTOS, INC. 10835 ROAD TO THE CURE, SUITE 205 SAN DIEGO CA 92121 0 0 1 0 Common Stock 2013-05-14 4 C 0 1152039 5.25 A 1266324 I by Group Common Stock 2013-05-14 4 C 0 672029 7.73 A 1938353 I by Group Common Stock 2013-05-14 4 P 0 142857 14 A 2081210 I by Group Series A Preferred Stock 5.25 2013-05-14 4 C 0 8640289 0 D Common Stock 1152039.0 0 I by Group Series B Preferred Stock 7.73 2013-05-14 4 C 0 5040221 0 D Common Stock 672029.0 0 I by Group These shares are owned directly by Lilly Ventures Fund I LLC (the "Fund"). Eli Lilly and Company, as sole Managing Member of the Fund, and pursuant to provisions of the LLC Agreement of the Fund, has voting authority with respect to shares owned by the Fund. S. Edward Torres, is a non-managing member of the Fund and may be deemed to beneficially own the shares. Mr. Torres disclaims beneficial ownership of the shares held of record by the Fund, except to the extent of his pecuniary interest therein. The attached Exhibit 99.1 lists details for each 10% and beneficial owner. The Series A preferred stock and Series B preferred stock converted upon the closing of the Issuer's initial public offering at a conversion ratio of 1 share of common stock for every 7.5 shares of Series A preferred stock and Series B preferred stock, for no additional consideration. This Form is being amended to include Eli Lilly and Company's beneficial ownership of the shares reported in the Forms 4 separately filed by Lilly Ventures Fund I LLC and S. Edward Torres on 5/14/2013. /s/ Jamie E. Haney, Authorized Person, authorization on file 2013-11-21 EX-24 2 poalillyventuresfundi.htm LVFI - POA HTM poalillyventuresfundi
Lilly Ventures Fund I, LLC 115 West Washington Street Suite 1680-South Indianapolis, Indiana 46204 Securities and Exchange Commission Washington, D.C. 20549 Authorization Regarding Reporting Forms I hereby authorize and designate the following persons to sign and file with the Commission on behalf of Lilly Ventures Fund I, LLC Forms 3, 4 and 5 covering transactions and holdings in the common stock and other equity securities of current and future portfolio securities as required by Section 16 of the Securities Exchange Act of 1934 and the rules thereunder: James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana Jamie E. Haney, Lilly Corporate Center, Indianapolis, Indiana Jonathan R. Haug, Lilly Corporate Center, Indianapolis, Indiana This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission. November 19, 2013 /s/ S. Edward Torres on behalf of Lilly Ventures Fund I, LLC


 
EX-24 3 poasedwardtorres.htm TORRES - POA HTM poasedwardtorres
S. Edward Torres 115 West Washington Street Suite 1680-South Indianapolis, Indiana 46204 Securities and Exchange Commission Washington, D.C. 20549 Authorization Regarding Reporting Forms I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms 3, 4 and 5 covering transactions and holdings in the common stock and other equity securities of Lilly Ventures Fund I, LLC and other current and future portfolio securities as required by Section 16 of the Securities Exchange Act of 1934 and the rules thereunder: James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana Jamie E. Haney, Lilly Corporate Center, Indianapolis, Indiana Jonathan R. Haug, Lilly Corporate Center, Indianapolis, Indiana This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission. November 19, 2013 /s/ S. Edward Torres


 
EX-99 4 receptosexhibit991forfor.htm CHART OF OWNERS HTM receptosexhibit991forfor
Exhibit 99.1 Reporting Owners Reporting Owner Name/Address Relationships Director 10% Ownership Officer Other Eli Lilly and Company Lilly Corporate Center Indianapolis, IN 46285 X Lilly Ventures Fund I, LLC 115 West Washington St. Suite 1680-South Indianapolis, IN 46204 X S. Edward Torres 115 West Washington St. Suite 1680-South Indianapolis, IN 46204 X* X *S. Edward Torres is a non-managing member of Lilly Ventures Fund I, LLC (the “Fund”) and therefore may be deemed to beneficially own the shares beneficially owned by the Fund. Mr. Torres disclaims beneficial ownership of the shares held of record by the Fund, except to the extent of his pecuniary interest therein.


 
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