Initial Statement of Beneficial Ownership (3)
2020年1月24日 - 6:36AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
*
Hansen Melanie R. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
1/13/2020
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3. Issuer Name and Ticker or Trading Symbol
Valeritas Holdings Inc. [VLRX]
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(Last)
(First)
(Middle)
C/O VALERITAS HOLDINGS, INC., 750 ROUTE 202 SOUTH, SUITE 600 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) See Remarks / |
(Street)
BRIDGEWATER, NJ 08807
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 62 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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 |
Employee Stock Option (Right to Buy) | (1) | 6/12/2027 | Common Stock | 117.0 | $98.4 | D | |
Employee Stock Option (Right to Buy) | (2) | 2/13/2028 | Common Stock | 25.0 | $61.4 | D | |
Employee Stock Option (Right to Buy) | (3) | 11/20/2028 | Common Stock | 300.0 | $8.2 | D | |
Employee Stock Option (Right to Buy) | (4) | 3/7/2029 | Common Stock | 775.0 | $8.6 | D | |
Explanation of Responses: |
(1) | 25% of the option became vested on June 12, 2018, the one-year anniversary of the date of grant. The remaining shares underlying the option vest in substantially equal quarterly installments for twelve (12) quarters after such one-year anniversary. |
(2) | 25% of the option became vested on February 13, 2019, the one-year anniversary of the date of grant. The remaining shares underlying the option vest in substantially equal quarterly installments for eight (8) quarters after such one-year anniversary. |
(3) | 50% of the option became vested on November 20, 2019, the one-year anniversary of the date of grant. The remaining shares underlying the option vest in substantially equal quarterly installments for four (4) quarters after such one-year anniversary. |
(4) | 25% of the option shall vest on March 7, 2020, the one-year anniversary of the date of grant. The remaining shares underlying the option vest in substantially equal quarterly installments for eight (8) quarters after such one-year anniversary. |
Remarks: Interim Corporate Controller and Treasurer (Principal Accounting Officer) |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Hansen Melanie R. C/O VALERITAS HOLDINGS, INC. 750 ROUTE 202 SOUTH, SUITE 600 BRIDGEWATER, NJ 08807 |
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| See Remarks |
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Signatures
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/s/ Melanie Hansen | | 1/23/2020 |
**Signature of Reporting Person | Date |
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