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*
Sanderling Venture Partners VI LP

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Pacira Pharmaceuticals, Inc. [ PCRX ]
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)
02/08/2011
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 02/08/2011 C 736,583 A (5) 736,583 D(1)
Common Stock 02/08/2011 C 14,877 A (5) 14,877 D(2)
Common Stock 02/08/2011 C 24,871 A (5) 24,871 D(3)
Common Stock 02/08/2011 C 29,634 A (5) 29,634 D(4)
Common Stock 02/08/2011 C 681,715 A (5) 681,715 D(6)
Common Stock 02/08/2011 C 344,355 A (7) 344,355 D(1)
Common Stock 02/08/2011 C 12,058 A (7) 12,058 D(3)
Common Stock 02/08/2011 C 14,366 A (7) 14,366 D(4)
Common Stock 02/08/2011 C 341,788 A (7) 341,788 D(6)
Common Stock 02/08/2011 C 129,445 A (8) 129,445 D(1)
Common Stock 02/08/2011 C 4,533 A (8) 4,533 D(3)
Common Stock 02/08/2011 C 5,400 A (8) 5,400 D(4)
Common Stock 02/08/2011 C 128,479 A (8) 128,479 D(6)
Common Stock 02/08/2011 P 46,379 A $7 46,379 D(1)
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 Convertible Preferred Stock (5) 02/08/2011 C 736,583 (5) (5) Common Stock 736,583 $0 0 D(1)
Series A Convertible Preferred Stock (5) 02/08/2011 C 14,877 (5) (5) Common Stock 14,877 $0 0 D(2)
Series A Convertible Preferred Stock (5) 02/08/2011 C 24,871 (5) (5) Common Stock 24,871 $0 0 D(3)
Series A Convertible Preferred Stock (5) 02/08/2011 C 29,634 (5) (5) Common Stock 29,634 $0 0 D(4)
Series A Convertible Preferred Stock (5) 02/08/2011 C 681,715 (5) (5) Common Stock 681,715 $0 0 D(6)
Convertible Promissory Notes (7) 02/08/2011 C 344,355 (7) (7) Common Stock 344,355 $0 0 D(1)
Convertible Promissory Notes (7) 02/08/2011 C 12,058 (7) (7) Common Stock 12,058 $0 0 D(3)
Convertible Promissory Notes (7) 02/08/2011 C 14,366 (7) (7) Common Stock 14,366 $0 0 D(4)
Convertible Promissory Notes (7) 02/08/2011 C 341,788 (7) (7) Common Stock 341,788 $0 0 D(6)
Convertible Promissory Notes (8) 02/08/2011 C 129,445 (8) (8) Common Stock 129,445 $0 0 D(1)
Convertible Promissory Notes (8) 02/08/2011 C 4,533 (8) (8) Common Stock 4,533 $0 0 D(3)
Convertible Promissory Notes (8) 02/08/2011 C 5,400 (8) (8) Common Stock 5,400 $0 0 D(4)
Convertible Promissory Notes (8) 02/08/2011 C 128,479 (8) (8) Common Stock 128,479 $0 0 D(6)
1. Name and Address of Reporting Person*
Sanderling Venture Partners VI LP

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sanderling Ventures Management VI

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sanderling VI Beteiligungs GmbH & Co KG

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sanderling VI Limited Partnership

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Sanderling Venture Partners VI Co Investment Fund LP

(Last) (First) (Middle)
C/O SANDERLING VENTURES
400 SOUTH EL CAMINO REAL, SUITE 1200

(Street)
SAN MATEO CA 94402

(City) (State) (Zip)
Explanation of Responses:
1. The securities are held by Sanderling Venture Partners VI, L.P.
2. The securities are held by Sanderling Ventures Management VI.
3. The securities are held by Sanderling VI Beteiligungs GmbH & Co. KG.
4. The securities are held by Sanderling VI Limited Partnership.
5. The Series A Convertible Preferred Stock had no expiration date and each share of Series A Convertible Preferred Stock was automatically converted into common stock on a 1-for-1 basis upon the consummation of the Issuer's initial public offering.
6. The securities are held by Sanderling Venture Partners VI Co-Investment Fund.
7. All principal and accrued interest on the Convertible Promissory Notes was automatically converted into shares of Common Stock upon the consummation of the Issuer's initial public offering.
8. All principal on the Convertible Promissory Notes was automatically converted into shares of Common Stock upon the consummation of the Issuer's initial public offering at a conversion price equal to the per share price of the Common Stock sold in the Issuer's initial public offering.
Remarks:
Form 1 of 2
/s/ See Ex. 99.1 02/09/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.
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                                                                    EXHIBIT 99.1

SANDERLING VENTURE PARTNERS VI, L.P.




By:  Middleton, McNeil, Mills & Associates VI, LLC

By:  /s/ Fred A. Middleton
     ------------------------------------------------
         Fred A. Middleton
         Managing Director




SANDERLING VI BETEILIGUNGS GMBH & CO. KG

By:  Middleton, McNeil, Mills & Associates VI, LLC

By:  /s/ Fred A. Middleton
     ------------------------------------------------
         Fred A. Middleton
         Managing Director




SANDERLING VENTURES MANAGEMENT VI

By:  /s/ Fred A. Middleton
     ------------------------------------------------
         Fred A. Middleton
         Owner




SANDERLING VI LIMITED PARTNERSHIP

By:  Middleton, McNeil, Mills & Associates VI, LLC

By:  /s/ Fred A. Middleton
     ------------------------------------------------
         Fred A. Middleton
         Managing Director




SANDERLING VENTURE PARTNERS VI CO-INVESTMENT FUND, L.P.

By:  Middleton, McNeil, Mills & Associates VI, LLC

By:  /s/ Fred A. Middleton
     ------------------------------------------------
         Fred A. Middleton
         Managing Director