SEC Form 4 · accession 0001104659-15-082558

POZEN INC /NC · POZN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

10% Owner

Period of report

Nov 30, 2015

Accepted (ET)

Dec 2, 2015 · 9:19 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001059790

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Nov 30, 2015	F	297,837	$7.59	D	460,017	D
Common Stock^F1	holding	—	—		—	757,854	D
Common Stock^F2	holding	—	—		—	1,256,102	I	By Trust
Common Stock^F3	holding	—	—		—	218,910	I	By Trust
Common Stock^F4	holding	—	—		—	1,157,808	I	By Silver Hill Investments, LLC
Common Stock^F5	holding	—	—		—	22,631	I	By Trust

No Table II lines on this filing.

F1Common stock delivered following vesting of restricted stock units.
F2Beneficially owned by John R. Plachetka, indirectly, through the Revocable Declaration Trust u/a 1/31/2000, John R. Plachetka, Trustee.
F3Beneficially owned by John R. Plachetka, indirectly, through the Revocable Declaration Trust u/a 1/31/2000, Clare A. Plachetka, Trustee.
F4Beneficially owned by John R. Plachetka, indirectly, as manager of Silver Hill Investments, LLC. Silver Hill Investments LLC is 50% owned by the Family Trust under the John R. Plachetka Irrevocable Trust dated 4/20/2000, Wachovia Bank N.A. and Clare A. Plachetka, Trustees (the "Family Trust"); 40% owned by the Revocable Declaration of Trust u/a 1/31/2000, John R. Plachetka, Trustee; and 10% owned by the Revocable Declaration of Trust u/a 1/31/2000, Clare A. Plachetka, Trustee.
F5Beneficially owned by John R. Plachetka, indirectly, through the Family Trust. The shares in the Family Trust are held in trust for the benefit of Clare A. Plachetka and John R. and Clare A. Plachetka's children.