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 | ||||
Stock Option (Right to Buy) | Â (2) | 03/31/2015(3) | Common Shares | 5,144 (1) | $ 4.81 (4) | D | Â |
Stock Option (Right to Buy) | Â (5) | 03/31/2015(22) | Common Shares | 10,288 (1) | $ 4.98 (4) | D | Â |
Stock Option (Right to Buy) | Â (6) | 12/31/2015 | Common Shares | 4,115 (1) | $ 5.22 (4) | D | Â |
Stock Option (Right to Buy) | Â (7) | 07/31/2016 | Common Shares | 2,057 (1) | $ 3.3 (8) | D | Â |
Stock Option (Right to Buy) | Â (9) | 12/31/2016 | Common Shares | 3,086 (1) | $ 3.21 (8) | D | Â |
Stock Option (Right to Buy) | Â (10) | 12/31/2017 | Common Shares | 3,086 (1) | $ 3.77 (8) | D | Â |
Stock Option (Right to Buy) | Â (11) | 12/31/2018 | Common Shares | 3,086 (1) | $ 3.07 (8) | D | Â |
Stock Option (Right to Buy) | Â (9) | 12/31/2019 | Common Shares | 3,086 (1) | $ 3.56 (8) | D | Â |
Stock Option (Right to Buy) | Â (12) | 12/31/2020 | Common Shares | 2,057 (1) | $ 3.76 (8) | D | Â |
Stock Option (Right to Buy) | Â (13) | 06/30/2021 | Common Shares | 10,288 (1) | $ 3.87 (8) | D | Â |
Stock Option (Right to Buy) | Â (14) | 12/31/2021 | Common Shares | 2,057 (1) | $ 3.67 (8) | D | Â |
Stock Option (Right to Buy) | Â (15) | 12/31/2021 | Common Shares | 6,172 (1) | $ 3.67 (8) | D | Â |
Stock Option (Right to Buy) | Â (16) | 12/31/2022 | Common Shares | 16,460 (1) | $ 2.68 (17) | D | Â |
Stock Option (Right to Buy) | Â (18) | 12/31/2022 | Common Shares | 2,057 (1) | $ 2.68 (17) | D | Â |
Stock Option (Right to Buy) | Â (19) | 01/13/2024 | Common Shares | 2,469 (1) | $ 9.85 (20) | D | Â |
Stock Option (Right to Buy) | Â (21) | 01/13/2024 | Common Shares | 7,201 (1) | $ 9.85 (20) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CORRAINI KAREN G. C/O XENON PHARMACEUTICALS INC. 200 - 3650 GILMORE WAY BURNABY, A1 V5G 4W8 |
 |  |  See Remarks |  |
/s/ Barbara Mery, Attorney-in-fact for Karen G. Corraini | 11/04/2014 | |
**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) | Reflects a 1-for-4.86 reverse stock split of the Issuer's outstanding shares effected October 1, 2014 (the "Reverse Stock Split"). |
(2) | The shares subject to the option fully vested on October 1, 2008. |
(3) | The shares subject to this option were due to expire on September 30, 2014. Pursuant to the Issuer's Amended and Restated Stock Option Plan, the expiration date of this option has been extended until five business days following the expiration of the Lock-up Agreement entered into in connection with the Issuer's initial public offering. The Lock-up Agreement will expire 180 days after the date of the final prospectus related to the initial public offering, or March 31, 2015. |
(4) | The exercise price was converted from $6.07 CAD using the closing rate of exchange of the Bank of Canada on the date of grant, after giving effect to the Reverse Stock Split. The actual exercise price is the Canadian dollar amount regardless of the exchange rate on the date of exercise. |
(5) | The shares subject to the option fully vested on January 1, 2009. |
(6) | The shares subject to the option fully vested on January 1, 2010. |
(7) | The shares subject to the option fully vested on August 1, 2010. |
(8) | The exercise price was converted from $3.74 CAD using the closing rate of exchange of the Bank of Canada on the date of grant, after giving effect to the Reverse Stock Split. The actual exercise price is the Canadian dollar amount regardless of the exchange rate on the date of exercise. |
(9) | The shares subject to the option fully vested on January 1, 2011. |
(10) | The shares subject to the option fully vested on January 1, 2012. |
(11) | The shares subject to the option fully vested on January 1, 2013. |
(12) | 25% of the shares subject to the Option vested on the one year anniversary of January 1, 2011 (the "January 2011 Vesting Commencement Date") and thereafter 1/48th of the shares subject to the Option vest on each monthly anniversary of the January 2011 Vesting Commencement Date. |
(13) | 1/3 of the shares subject to the Option vested on July 1, 2011 (the "July 2011 Vesting Commencement Date") and thereafter the remaining 2/3 of the shares subject to the Option vest each monthly anniversary of the July 2011 Vesting Commencement Date over the following 4 years. |
(14) | 1/3 of the shares subject to the Option vested on January 1, 2012 (the "First 2012 Vesting Commencement Date") and thereafter the remaining 2/3 of the shares subject to the Option vest each monthly anniversary of the First 2012 Vesting Commencement Date over the following 4 years. |
(15) | 25% of the shares subject to the Option vested on the one year anniversary of January 1, 2012 (the "Second 2012 Vesting Commencement Date") and thereafter 1/48th of the shares subject to the Option vest on each monthly anniversary of the Second 2012 Vesting Commencement Date. |
(16) | 25% of the shares subject to the Option vested on the one year anniversary of January 1, 2013 (the "First 2013 Vesting Commencement Date") and thereafter 1/48th of the shares subject to the Option vest on each monthly anniversary of the First 2013 Vesting Commencement Date. |
(17) | The exercise price was converted from $2.67 CAD using the closing rate of exchange of the Bank of Canada on the date of grant, after giving effect to the Reverse Stock Split. The actual exercise price is the Canadian dollar amount regardless of the exchange rate on the date of exercise. |
(18) | 1/3 of the shares subject to the Option vested on January 1, 2013 (the "Second 2013 Vesting Commencement Date") and thereafter the remaining 2/3 of the shares subject to the Option vest each monthly anniversary of the Second 2013 Vesting Commencement Date over the following 4 years. |
(19) | 1/3 of the shares subject to the Option vested on January 14, 2014 (the "First 2014 Vesting Commencement Date") and thereafter the remaining 2/3 of the shares subject to the Option vest each monthly anniversary of the First 2014 Vesting Commencement Date over the following 4 years. |
(20) | The exercise price was converted from $10.78 CAD using the closing rate of exchange of the Bank of Canada on the date of grant, after giving effect to the Reverse Stock Split. The actual exercise price is the Canadian dollar amount regardless of the exchange rate on the date of exercise. |
(21) | 25% of the shares subject to the Option will vest on the one year anniversary of January 14, 2014 (the "Second 2014 Vesting Commencement Date") and thereafter 1/48th of the shares subject to the Option vest on each monthly anniversary of the Second 2014 Vesting Commencement Date. |
(22) | The shares subject to this option were due to expire on January 10, 2014. Pursuant to the Issuer's Amended and Restated Stock Option Plan, the expiration date of this option has been extended until five business days following the expiration of the Lock-up Agreement entered into in connection with the Issuer's initial public offering. The Lock-up Agreement will expire 180 days after the date of the final prospectus related to the initial public offering, or March 31, 2015. |
 Remarks: General Counsel and Corporate Secretary |