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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series A Convertible Preferred Stock
|
11/09/2005 |
Â
(1)
|
Common Stock
|
93,951,081
|
$
(1)
|
D
(2)
|
Â
|
Series B Convertible Preferred Stock
|
11/09/2005 |
Â
(3)
|
Common Stock
|
20,246,507
|
$
(3)
|
D
(2)
|
Â
|
Series C-1 Convertible Preferred Stock
|
11/09/2005 |
Â
(4)
|
Common Stock
|
48,833,992
|
$
(4)
|
D
(2)
|
Â
|
Series C-2 Convertible Preferred Stock
|
11/09/2005 |
Â
(5)
|
Common Stock
|
14,118,114
|
$
(5)
|
D
(2)
|
Â
|
Series C-3 Convertible Preferred Stock
|
11/09/2005 |
Â
(6)
|
Common Stock
|
79,175,508
|
$
(6)
|
D
(2)
|
Â
|
* |
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) |
The Series A Convertible Preferred Stock is convertible into Acura Pharmaceuticals, Inc. Common Stock on a 5-for-1 basis and has no expiration date. |
(2) |
Each of Essex Woodlands Health Ventures V, LLC, as general partner of Essex Woodlands Health Ventures Fund, L.P., a member of the Reporting Person; Care Capital II, LLC, as general partner of each of Care Capital Investments II, L.P. and Care Capital Offshore Investments II, L.P., each of which is a member of the Reporting Person; Claudius, L.L.C., as general partner of each of Galen Partners III, L.P. and Galen Partners International III, L.P., each of which is a member of the Reporting Person; and Wesson Enterprises, Inc., as general partner of Galen Employee Fund III, L.P., a member of the Reporting Person, beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the reported securities except to the extent of its pecuniary interest therein. |
(3) |
The Series B Convertible Preferred Stock is convertible into Acura Pharmaceuticals, Inc. Common Stock on a 1-for-1 basis and has no expiration date. |
(4) |
The Series C-1 Convertible Preferred Stock is convertible into Acura Pharmaceuticals, Inc. Common Stock on a 1-for-1 basis and has no expiration date. |
(5) |
The Series C-2 Convertible Preferred Stock is convertible into Acura Pharmaceuticals, Inc. Common Stock on a 1-for-1 basis and has no expiration date. |
(6) |
The Series C-3 Convertible Preferred Stock is convertible into Acura Pharmaceuticals, Inc. Common Stock on a 1-for-1 basis and has no expiration date. |