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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
| 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. | SEC 1474 (9-02) | ||
| 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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Call Option (obligation to sell) | $ 6.01 | 02/09/2012 | J | 33,000 | 02/09/2012 | 06/15/2012 | Common Stock | 3,300,000 | $ 0.01 | 47,012 | I | See notes (1) (2) (3) | |||
| Call Option (obligation to sell) | $ 3 | 02/09/2012 | J | 13,500 | 02/09/2012 | 09/15/2012 | Common Stock | 1,350,000 | $ 0.05 | 33,512 | I | See notes (1) (2) (3) | |||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| Occitan Capital Management Inc. WALKER HOUSE, 87 MARY STREET GEORGE TOWN, GRAND CAYMAN, E9 KY1-9005 |
X | See remarks | ||
| OCCITAN MASTER FUND L.P. WALKER HOUSE, 87 MARY STREET GEORGE TOWN, GRAND CAYMAN, E9 KY1-9005 |
X | See remarks | ||
| Occitan Master Fund L.P. By: Occitan Capital Management Inc., /s/ Pearse Griffith, Director | 02/09/2012 | |
| **Signature of Reporting Person | Date | |
| Occitan Capital Management Inc., /s/ Pearse Griffith, Director | 02/09/2012 | |
| **Signature of Reporting Person | Date |
| * | 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). |
| (1) | The securities reported herein are directly beneficially owned by Occitan Master Fund L.P. and may be deemed to be indirectly beneficially owned by Occitan Capital Management Inc. as General Partner of Occitan Master Fund L.P. |
| (2) | Each reporting person listed herein disclaims beneficial ownership of the reported securities except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. |
| (3) | Cancellation of purchase of call option (right to buy) on 02/07/12 due to broker error. |
| Remarks: The reporting persons herein may be deemed to be members of a "group" for purposes of the Securities Exchange Act of 1934, as amended. Each reporting person disclaims beneficial ownership of any securities deemed to be owned by the group that are not directly owned by such reporting person. This report shall not be deemed an admission that such reporting person is a member of a group or the beneficial owner of any securities not directly owned by such reporting person. Name: Occitan Master Fund L.P. Address: Walker House, 87 Mary Street, George Town, Grand Cayman, Cayman Islands, KY1-9005 Designated Filer: Occitan Capital Management Inc. Issuer & Ticker: Alexza Pharmaceuticals Inc. [ALXA] Date of Event Requiring Statement: 02/09/2012 Name: Occitan Capital Management Inc. Address: Walker House, 87 Mary Street, George Town, Grand Cayman, Cayman Islands, KY1-9005 Designated Filer: Occitan Capital Management Inc. Issuer & Ticker: Alexza Pharmaceuticals Inc. [ALXA] Date of Event Requiring Statement: 02/09/2012 | |