UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series C Preferred Stock | Â (1) | Â (1) | Common Stock | 3,445 | $ (1) | I | See footnote (2) |
Series D Preferred Stock | Â (1) | Â (1) | Common Stock | 1,254 | $ (1) | I | See footnote (2) |
Employee Stock Option (right to buy) | Â (3) | 11/21/2020 | Common Stock | 95,420 | $ 3.17 | D | Â |
Employee Stock Option (right to buy) | Â (4) | 06/15/2021 | Common Stock | 57,414 | $ 3.17 | D | Â |
Employee Stock Option (right to buy) | Â (5) | 12/20/2023 | Common Stock | 421,405 | $ 1.76 | D | Â |
Employee Stock Option (right to buy) | Â (6) | 06/03/2024 | Common Stock | 242,747 | $ 6.33 | D | Â |
Series C Preferred Stock Warrant (right to buy) | Â (7) | 08/18/2014 | Series C Preferred Stock (1) | 60 | $ 8.79 | I | See footnote (2) |
Series C Preferred Stock Warrant (right to buy) | Â (7) | 08/18/2014 | Series C Preferred Stock (1) | 53 | $ 8.79 | I | See footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Weber David Allen C/O OTONOMY, INC. 6275 NANCY RIDGE DRIVE SAN DIEGO, CA 92121 |
 X |  |  President & CEO |  |
/s/ David Allen Weber | 08/12/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each of the Series C Convertible Preferred Stock and the Series D Convertible Preferred Stock shall automatically convert into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of common stock and has no expiration date. |
(2) | The reported securities are held directly by The Weber Trust dated March 9, 2005 for which the Reporting Person serves as a trustee. |
(3) | The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vested on November 21, 2011 and one forty-eighth of the shares vest monthly thereafter. |
(4) | The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vested on May 18, 2012 and one forty-eighth of the shares vest monthly thereafter. |
(5) | An option to purchase 438,469 shares was granted on December 20, 2013 and was exercised in part prior to the date on which the Reporting Person became subject to Section 16. The option is subject to an early exercise provision pursuant to which 193,874 shares are immediately exercisable. One-fourth of the total number of shares initially subject to the option vest on September 1, 2014 and one forty-eighth of the shares vest monthly thereafter. |
(6) | The option is subject to an early exercise provision and is immediately exercisable. One-fourth of the shares subject to the option vest on April 23, 2015 and one forty-eighth of the shares vest monthly thereafter. |
(7) | The warrants are immediately exercisable. |
 Remarks: Exhibit 24 - Power of Attorney |