SEC FORM 4 SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hatteras Venture Advisors IV SBIC, LLC

(Last) (First) (Middle)
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Clearside Biomedical, Inc. [ CLSD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/07/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 06/07/2016 C 1,598,223(1) A (2) 1,654,248 I By Hatteras Venture Partners IV SBIC, LP(3)
Common Stock 06/07/2016 X 21,705 A $0.022 1,675,953 I By Hatteras Venture Partners IV SBIC, LP(3)
Common Stock 06/07/2016 S(4) 69 D $7 1,675,884 I By Hatteras Venture Partners IV SBIC, LP(3)
Common Stock 06/07/2016 P 414,286 A $7 2,090,170 I By Hatteras Venture Partners IV SBIC, LP(3)
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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 Preferred Stock (2) 06/07/2016 C 2,035,908 (2) (2) Common Stock 925,412(2) $0.00 0 I By Hatteras Venture Partners IV SBIC, LP(3)
Series A-1 Preferred Stock (2) 06/07/2016 C 689,388 (2) (2) Common Stock 313,358(2) $0.00 0 I By Hatteras Venture Partners IV SBIC, LP(3)
Series B Preferred Stock (2) 06/07/2016 C 432,941 (2) (2) Common Stock 196,791(2) $0.00 0 I By Hatteras Venture Partners IV SBIC, LP(3)
Series C Preferred Stock (2) 06/07/2016 C 337,897 (2) (2) Common Stock 162,662(2) $0.00 0 I By Hatteras Venture Partners IV SBIC, LP(3)
Warrant to Purchase Common Stock (right to buy) $0.022 06/07/2016 X 21,705 04/28/2014 (5) Common Stock 21,705 $0.00 0 I By Hatteras Venture Partners IV SBIC, LP(3)
1. Name and Address of Reporting Person*
Hatteras Venture Advisors IV SBIC, LLC

(Last) (First) (Middle)
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Crumpler John

(Last) (First) (Middle)
C/O HATTERAS VENTURES
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Reed Douglas MD

(Last) (First) (Middle)
C/O HATTERAS VENTURES
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
LEE KENNETH B JR

(Last) (First) (Middle)
C/O HATTERAS VENTURES
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
INGRAM ROBERT ALEXANDER

(Last) (First) (Middle)
C/O HATTERAS VENTURES
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Thorp Clay

(Last) (First) (Middle)
C/O HATTERAS VENTURES
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Hatteras Venture Partners IV SBIC, LP

(Last) (First) (Middle)
280 S. MANGUM ST., SUITE 350

(Street)
DURHAM NC 27701

(City) (State) (Zip)
Explanation of Responses:
1. The total represents shares received upon conversion of shares of Series A Preferred Stock, Series A-1 Preferred Stock, Series B Preferred Stock and Series C Preferred Stock.
2. Effective immediately prior to the closing of the Issuer's initial public offering of its common stock, each share of Series A Preferred Stock, Series A-1 Preferred Stock and Series B Preferred Stock automatically converted into 0.454545 shares of the Issuer's common stock, and each share of Series C Preferred Stock automatically converted into 0.4814 shares of the Issuer's common stock. The Preferred Stock had no expiration date.
3. The reportable securities are owned directly by Hatteras Venture Partners IV SBIC, LP ("HVP IV"). Hatteras Venture Advisors IV SBIC, LLC is the general partner of HVP IV (the "GP"). The securities directly held by HVP IV are indirectly held by the individual managing members of GP (each, a "GP Managing Member" and collectively, the "GP Managing Members"). The GP Managing Members are John Crumpler, Clay Thorp, Ken Lee, Douglas Reed and Robert Ingram. The GP Managing Members may share voting and dispositive power over the securities directly held by HVP IV. Each GP Managing Member disclaims beneficial ownership of these securities and this report is not an admission that any GP Managing Member is a beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein.
4. On June 7, 2016, HVP IV exercised a warrant to purchase 21,705 shares of Issuer's common stock for $0.022 per share. HVP IV paid the exercise price on a cashless basis, resulting in the Issuer's withholding of an aggregate of 69 of the warrant shares to pay the exercise price and issuing to the HVP IV the remaining 21,636 shares.
5. This warrant would have expired upon the closing of the Issuer's initial public offering.
Remarks:
/s/ Brian F. Leaf, Attorney-in-Fact for Hatteras Venture Advisors IV SBIC, LLC 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for John Crumpler 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for Douglas Reed 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for Kenneth Lee 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for Robert Ingram 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for Clay Thorp 06/07/2016
/s/ Brian F. Leaf, Attorney-in-Fact for Hatteras Venture Advisors IV SBIC, LLC, the general partner of Hatteras Venture Partners IV SBIC, LP 06/07/2016
** Signature of Reporting Person Date
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