Sec Form 4 Filing - Timberlake John Edward @ Valeritas Holdings Inc. - 2017-12-05

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
Timberlake John Edward
2. Issuer Name and Ticker or Trading Symbol
Valeritas Holdings Inc. [ VLRX]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
See Remarks
(Last) (First) (Middle)
750 ROUTE 202 SOUTH, SUITE 600
3. Date of Earliest Transaction (MM/DD/YY)
12/05/2017
(Street)
BRIDGEWATER, NJ08807
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
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
Employee Stock Option (Right to Buy) $ 7.12 12/05/2017 D 74,700 ( 1 ) 03/23/2027 Common Stock 74,700 ( 2 ) 187,500 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Timberlake John Edward
750 ROUTE 202 SOUTH, SUITE 600
BRIDGEWATER, NJ08807
X See Remarks
Signatures
/s/ John E Timberlake 12/07/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The option was granted on March 23, 2017 and provided for 25% vesting on September 23, 2017, the six-month anniversary of the original date of grant. The remaining shares underlying the option vest in 10 substantially equal quarterly installments upon completion of each additional three months of service measured after such six-month anniversary.
( 2 )On December 5, 2017, the reporting person surrendered 74,700 shares underlying the option, which represents a portion of the option that was inadvertently issued to the reporting person above the annual individual grant limit imposed by the Issuer's employee stock option plan. The revised option consists of 187,500 shares with an exercise price of $7.12 per share. As of the date of this report, 25% of the option (46,875 shares) has vested, and the remaining 140,625 shares underlying the option vest in accordance with the same schedule as set forth in (1) above.

Remarks:
Chief Executive Officer and President

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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