SEC Form 3 · accession 0001209191-17-022868
Valeritas Holdings Inc. · VLRX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Mar 22, 2017
Accepted (ET)
Mar 24, 2017 · 7:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001619250
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 154,824 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF2 | — | holding | — | — | — | — | — | Common Stock | 306,469 | — | D |
Explanation of responses
- F1The Reporting Person is one of five related entities, the investment decisions of which are managed by Capital Royalty L.P., and which in the aggregate own in excess of 10% of the Issuer's Common Stock.
- F2Each share of Series A Convertible Preferred Stock will be convertible into one of Issuer's Common Stock for no additional consideration upon the completion of the Issuer's initial public offering.