Sec Form 4 Filing - Haas Ken @ ZOGENIX, INC. - 2010-11-29

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
Haas Ken
2. Issuer Name and Ticker or Trading Symbol
ZOGENIX, INC. [ ZGNX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O ABINGWORTH BIOVENTURES, 3000 SAND HILL RD., B4-135
3. Date of Earliest Transaction (MM/DD/YY)
11/29/2010
(Street)
MENLO PARK, CA94025
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/29/2010 C 901,363 A 901,363 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Common Stock 11/29/2010 C 535,643 A 1,437,006 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Common Stock 11/29/2010 C( 3 ) 382,613 A 1,819,619 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Common Stock 11/29/2010 P 495,750 A $ 4 2,315,369 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Common Stock 11/29/2010 C 7,727 A 7,727 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives L.P.
Common Stock 11/29/2010 C 4,592 A 12,319 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives L.P.
Common Stock 11/29/2010 C( 3 ) 3,280 A 15,599 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives L.P.
Common Stock 11/29/2010 P 4,250 A $ 4 19,849 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives L.P.
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-2 Convertible Preferred Stock ( 1 ) 11/29/2010 C 9,013,631 ( 1 ) ( 1 ) Common Stock 901,363 ( 1 ) 0 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Series B Convertible Preferred Stock ( 1 ) 11/29/2010 C 5,356,437 ( 1 ) ( 1 ) Common Stock 535,643 ( 1 ) 0 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
8% Convertible Promissory Note ( 5 ) 11/29/2010 C( 5 ) 382,613 ( 5 ) ( 5 ) Common Stock 382,613 ( 5 ) 0 I ( 2 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV LP
Series A-2 Convertible Preferred Stock ( 1 ) 11/29/2010 C 77,278 ( 1 ) ( 1 ) Common Stock 7,727 ( 1 ) 0 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives LP
Series B Convertible Preferred Stock ( 1 ) 11/29/2010 C 45,930 ( 1 ) ( 1 ) Common Stock 4,592 ( 1 ) 0 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives LP
8% Convertible Promissory Note ( 5 ) 11/29/2010 C( 5 ) 3,280 ( 5 ) ( 5 ) Common Stock 3,280 ( 5 ) 0 I ( 3 ) ( 4 ) ( 6 ) By Abingworth Bioventures IV Executives LP
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Haas Ken
C/O ABINGWORTH BIOVENTURES
3000 SAND HILL RD., B4-135
MENLO PARK, CA94025
X
Signatures
/s/ Ken Haas 11/29/2010
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each of the Series A-2 Convertible Preferred Stock and the Series B Convertible Preferred Stock automatically converted to Common Stock at the closing of the Issuer's initial public offering on November 29, 2010 at a conversion ratio one share of Common Stock for every ten shares of Series A-2 Convertible Preferred Stock and one share of Common Stock for every ten shares of Series B Convertible Preferred Stock, as applicable, rounded down to the next whole number, for no additional consideration.
( 2 )These securities are owned of record by Abingworth Bioventures IV LP ("AB IV").
( 3 )These securities are owned of record by Abingworth Bioventures IV Executives L.P. ("AB IV Executives")
( 4 )Abingworth Management Ltd. ("AM Ltd.") serves as investment manager of each of AB IV and AB IV Executives and may be deemed to share voting and dispositive power with respect to the securities owned by AB IV and AB IV Executives. The Reporting Person is a venture partner of Abingworth Management, Inc., and in such capacity may be deemed to beneficially own the securities owned of record by AB IV and AB IV Executives, but disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
( 5 )The principle of the Note and accrued interest thereon was automatically converted upon the closing of the Issuer's initial public offering on November 29, 2010 into shares of Common Stock at a conversion price equal to $4.00 per share, the per share price of the Common Stock sold in the Issuer's initial public offering.
( 6 )The filing of this statement shall not be deemed an admission that, for the purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Person is the beneficial owner of equity securities covered by this statement

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