Form D Raw Data - Electronic Filing Depository

EFDID: 24164EFD: Raw Data

Issuer: ACELRX PHARMACEUTICALS INC (0001427925) - D

Accession: 0001427925-10-000001 () (EDGAR Files) (Form D)

Edgar Posted: Sep. 20, 2010
EFD Posted: Aug. 7, 2014

- < edgarSubmission >

< schemaVersion > X0704 </ schemaVersion >

< submissionType > D </ submissionType >

< testOrLive > LIVE </ testOrLive >

- < primaryIssuer >

< cik > 0001427925 </ cik >

< entityName > ACELRX PHARMACEUTICALS INC </ entityName >

- < issuerAddress >

< street1 > 575 CHESAPEAKE DRIVE </ street1 >

< city > REDWOOD CITY </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ issuerAddress >

< issuerPhoneNumber > 650-216-3500 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

- < issuerPreviousNameList >

< previousName > Surx, Inc. </ previousName >

</ issuerPreviousNameList >

- < edgarPreviousNameList >

< value > None </ value >

</ edgarPreviousNameList >

< entityType > Corporation </ entityType >

- < yearOfInc >

< overFiveYears > true </ overFiveYears >

</ yearOfInc >

</ primaryIssuer >

- < relatedPersonsList >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Richard </ firstName >

< lastName > King </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Pamela </ firstName >

< lastName > Palmer </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Carter </ firstName >

< lastName > King </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Larry </ firstName >

< lastName > Hamel </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Anil </ firstName >

< lastName > Dasu </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Linda </ firstName >

< lastName > Judge </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Executive Officer </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Howie </ firstName >

< lastName > Rosen </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Guy </ firstName >

< lastName > Nohra </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Alta Partners </ street1 >

< street2 > One Embarcadero Center, 37th Floor </ street2 >

< city > San Francisco </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94111 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Stephen </ firstName >

< lastName > Hoffman </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Skyline Venture Partners </ street1 >

< street2 > 525 University Avenue, #520 </ street2 >

< city > Palo Alto </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94301 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Mark </ firstName >

< lastName > Wan </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o Three Arch Partners </ street1 >

< street2 > 3200 Alpine Road </ street2 >

< city > Portola Valley </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94028 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

- < relatedPersonInfo >

- < relatedPersonName >

< firstName > Thomas </ firstName >

< lastName > Schreck </ lastName >

</ relatedPersonName >

- < relatedPersonAddress >

< street1 > c/o AcelRx Pharmaceuticals, Inc. </ street1 >

< street2 > 575 Chesapeake Drive </ street2 >

< city > Redwood City </ city >

< stateOrCountry > CA </ stateOrCountry >

< stateOrCountryDescription > CALIFORNIA </ stateOrCountryDescription >

< zipCode > 94063 </ zipCode >

</ relatedPersonAddress >

- < relatedPersonRelationshipList >

< relationship > Director </ relationship >

</ relatedPersonRelationshipList >

< relationshipClarification />

</ relatedPersonInfo >

</ relatedPersonsList >

- < offeringData >

- < industryGroup >

< industryGroupType > Pharmaceuticals </ industryGroupType >

</ industryGroup >

- < issuerSize >

< revenueRange > Decline to Disclose </ revenueRange >

</ issuerSize >

- < federalExemptionsExclusions >

< item > 06 </ item >

</ federalExemptionsExclusions >

- < typeOfFiling >

- < newOrAmendment >

< isAmendment > false </ isAmendment >

</ newOrAmendment >

- < dateOfFirstSale >

< value > 2010-09-14 </ value >

</ dateOfFirstSale >

</ typeOfFiling >

- < durationOfOffering >

< moreThanOneYear > false </ moreThanOneYear >

</ durationOfOffering >

- < typesOfSecuritiesOffered >

< isDebtType > true </ isDebtType >

< isOptionToAcquireType > true </ isOptionToAcquireType >

</ typesOfSecuritiesOffered >

- < businessCombinationTransaction >

< isBusinessCombinationTransaction > false </ isBusinessCombinationTransaction >

< clarificationOfResponse />

</ businessCombinationTransaction >

< minimumInvestmentAccepted > 0 </ minimumInvestmentAccepted >

< salesCompensationList />

- < offeringSalesAmounts >

< totalOfferingAmount > 12001200 </ totalOfferingAmount >

< totalAmountSold > 8000800 </ totalAmountSold >

< totalRemaining > 4000400 </ totalRemaining >

< clarificationOfResponse > Promissory Notes convertible into Preferred Stock; Warrants to purchase Preferred Stock </ clarificationOfResponse >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 8 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 0 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

< clarificationOfResponse />

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

< clarificationOfResponse > The proceeds will be used for general corporate purposes. </ clarificationOfResponse >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > ACELRX PHARMACEUTICALS INC </ issuerName >

< signatureName > /s/ Mark B. Weeks </ signatureName >

< nameOfSigner > Mark B. Weeks </ nameOfSigner >

< signatureTitle > Secretary </ signatureTitle >

< signatureDate > 2010-09-20 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >