As filed with the Securities and Exchange Commission on March 6, 2017
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM S-8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
DERMIRA, INC.
(Exact name of registrant as specified in its charter)
Delaware | 27-3267680 | |
(State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification No.) |
Dermira, Inc.
275 Middlefield Road, Suite 150
Menlo Park, California 94025
(650) 421-7200
(Address, including zip code, and telephone number, including area code, of Registrants principal executive offices)
2014 Equity Incentive Plan
2014 Employee Stock Purchase Plan
(Full title of the plans)
Thomas G. Wiggans
Chief Executive Officer and Chairman of the Board
Dermira, Inc.
275 Middlefield Road, Suite 150
Menlo Park, California 94025
(650) 421-7200
(Name, address, including zip code, and telephone number, including area code, of agent for service)
Please send copies of all communications to:
Douglas N. Cogen, Esq. Michael A. Brown, Esq. Katherine Duncan, Esq. Fenwick & West LLP 555 California Street, 12th Floor San Francisco, California 94104 (415) 875-2300 |
Andrew L. Guggenhime Chief Operating Officer and Dermira, Inc. 275 Middlefield Road, Suite 150 Menlo Park, California 94025 (650) 421-7200 |
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of large accelerated filer, accelerated filer, and smaller reporting company in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ☒ | Accelerated filer | ☐ | |||
Non-accelerated filer | ☐ (Do not check if a smaller reporting company) | Smaller reporting company | ☐ |
CALCULATION OF REGISTRATION FEE
| ||||||||
Title of Securities To Be Registered |
Amount To Be |
Proposed Maximum Offering Price |
Proposed Maximum Offering Price |
Amount of Fee | ||||
Common Stock, $0.001 par value per share |
||||||||
- Reserved for future issuance under the 2014 Equity Incentive Plan |
1,426,081(2) | $33.72(3) | $48,087,452 | $5,574 | ||||
- Reserved for future issuance under the 2014 Employee Stock Purchase Plan |
356,520(4) | $28.66(5) | $10,217,864 | $1,185 | ||||
TOTAL |
1,782,601 | N/A | $58,305,316 | $6,759 | ||||
| ||||||||
|
(1) | Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the Securities Act), this Registration Statement shall also cover any additional shares of the Registrants common stock that become issuable in respect of the securities identified in the above table by reason of any stock dividend, stock split, recapitalization or other similar transaction effected without the Registrants receipt of consideration that results in an increase in the number of the outstanding shares of the Registrants common stock. |
(2) | Represents additional shares of the Registrants common stock reserved for issuance under the Registrants 2014 Equity Incentive Plan (the EIP) resulting from the automatic annual increase in the number of authorized shares reserved and available for issuance under the EIP on January 1 of each of the first ten years following the Registrants initial public offering equal to 4% of the total number of outstanding shares of the Registrants common stock on December 31 of the prior year. |
(3) | Estimated pursuant to Rules 457(c) and (h) of the Securities Act, solely for the purpose of calculating the registration fee, on the basis of the average of the high and low prices of the Registrants common stock as reported on The NASDAQ Global Market on February 27, 2017. |
(4) | Represents additional shares of the Registrants common stock reserved for issuance under the Registrants 2014 Employee Stock Purchase Plan (the ESPP) resulting from the automatic annual increase in the number of authorized shares reserved and available for issuance under the ESPP on January 1 of each of the first ten years following the Registrants initial public offering equal to 1% of the total number of outstanding shares of the Registrants common stock on December 31 of the prior year. |
(5) | Estimated pursuant to Rules 457(c) and (h) of the Securities Act, solely for the purpose of calculation the registration fee, on the basis of the average of the high and low prices of the Registrants common stock as reported on The NASDAQ Global Market on February 27, 2017. Under the ESPP, the purchase price of a share of common stock is equal to 85% of the fair market value of the Registrants common stock on the offering date (i.e., the first business day of the offering period of up to 27 months) or the purchase date (i.e., the last business day of a six-month purchase period), whichever is less. |
REGISTRATION OF ADDITIONAL SHARES
PURSUANT TO GENERAL INSTRUCTION E
Pursuant to General Instruction E of Form S-8, Dermira, Inc. (the Registrant) is filing this Registration Statement with the Securities and Exchange Commission (the Commission) to register:
(i) | 1,426,081 additional shares of common stock under the Registrants 2014 Equity Incentive Plan, pursuant to the provisions of the 2014 Equity Incentive Plan (EIP) providing for an automatic annual increase in the number of authorized shares reserved and available for issuance under the EIP on January 1, 2017 equal to 4% of the total number of outstanding shares of the Registrants common stock on December 31 of the prior year; and |
(ii) | 356,520 additional shares of common stock under the Registrants 2014 Employee Stock Purchase Plan (ESPP), pursuant to the provisions of the ESPP providing for an automatic annual increase in the number of shares reserved and available for issuance under the ESPP on January 1, 2017 equal to 1% of the total number of outstanding shares of the Registrants common stock on December 31 of the prior year. |
This Registration Statement hereby incorporates by reference the contents of the Registrants previous registration statements on Form S-8 filed with the Commission on October 2, 2014 (Registration No. 333-199127), March 25, 2015 (Registration No. 333-203002) and March 3, 2016 (Registration No. 333-209922). In accordance with the instructional note to Part I of Form S-8 as promulgated by the Commission, the information specified by Part I of Form S-8 has been omitted from this Registration Statement.
PART II
Information Required in the Registration Statement
Item 3. Incorporation of Documents by Reference.
The following documents filed by the Registrant with the Commission pursuant to the Securities Exchange Act of 1934, as amended, or Exchange Act, are incorporated herein by reference:
(a) | the Registrants Annual Report on Form 10-K for the fiscal year ended December 31, 2016, filed with the Commission on February 28, 2017; |
(b) | all other reports filed pursuant to Section 13(a) or 15(d) of the Exchange Act since the end of the fiscal year covered by the Registrants Annual Report referred to in (a) above; and |
(c) | the description of the Registrants common stock contained in the Registrants Registration Statement on Form 8-A (Registration No. 001-36668) filed with the Commission on September 29, 2014 under Section 12(b) of the Exchange Act, including any amendments or reports filed for the purpose of updating such description. |
All documents filed by the Registrant pursuant to Section 13(a), 13(c), 14 or 15(d) of the Exchange Act subsequent to the filing of this Registration Statement and prior to the filing of a post-effective amendment, which indicates that all securities offered hereby have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference into this Registration Statement and to be a part hereof from the date of filing such documents, except as to specific sections of such documents as set forth therein. Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement contained in any subsequently filed document, which also is deemed to be incorporated by reference herein, modifies or supersedes such statement.
Item 5. Interests of Named Experts and Counsel.
As of the date of this Registration Statement, Fenwick & West LLP beneficially owns an aggregate of 43,103 shares of the Registrants common stock, representing approximately 0.12% of the Registrants outstanding shares of common stock as of December 31, 2016.
Item 8. Exhibits.
The following exhibits are filed herewith:
Exhibit | Incorporated by Reference | Filed | ||||||||||||||||||
Number |
Exhibit Description |
Form |
File No. |
Exhibit |
Filing Date |
Herewith | ||||||||||||||
4.1 | Restated Certificate of Incorporation of the Registrant. | 10-Q | 001-36668 | 3.1 | 11/12/2014 | |||||||||||||||
4.2 | Restated Bylaws of the Registrant. | 10-Q | 001-36668 | 3.2 | 11/12/2014 | |||||||||||||||
4.3 | Form of Common Stock Certificate. | S-1 | 333-198410 | 4.1 | 8/27/2014 | |||||||||||||||
5.1 | Opinion of Fenwick & West LLP. | X | ||||||||||||||||||
23.1 | Consent of Independent Registered Public Accounting Firm. | X | ||||||||||||||||||
23.2 | Consent of Fenwick & West LLP (included in Exhibit 5.1). | X | ||||||||||||||||||
24.1 | Power of Attorney (included on the signature page of this Registration Statement). | X |
Exhibit | Incorporated by Reference | Filed | ||||||||||
Number |
Exhibit Description |
Form |
File No. |
Exhibit |
Filing Date |
Herewith | ||||||
99.1 | 2014 Equity Incentive Plan and forms of stock option award agreement, stock option exercise agreement, restricted stock agreement, stock appreciation right award agreement, restricted stock unit award agreement, performance shares award agreement and stock bonus agreement. | 10-Q | 001-36668 | 10.3 | 11/12/2014 | |||||||
99.2 | 2014 Employee Stock Purchase Plan and form of subscription agreement. | 10-Q | 001-36668 | 10.4 | 11/12/2014 |
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the Menlo Park, State of California, on this 6th day of March 2017.
DERMIRA, INC. | ||
By: | /s/ THOMAS G. WIGGANS | |
Thomas G. Wiggans | ||
Chief Executive Officer and Chairman of the Board |
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints Thomas G. Wiggans and Andrew L. Guggenhime, and each of them, as his or her true and lawful attorney-in-fact, proxy, and agent with the full power of substitution, for him or her in any and all capacities, to sign any and all amendments to this registration statement (including post-effective amendments to this Registration Statement on Form S-8), and to file the same, with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact, proxies and agents, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully for all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact, proxies and agents, or their or his or her substitutes, may lawfully do or cause to be done by virtue hereof.
Pursuant to the requirements of the Securities Act of 1933, as amended, this Registration Statement has been signed by the following persons on behalf of the Registrant in the capacities and on the dates indicated.
Signature |
Title |
Date | ||
/s/ THOMAS G. WIGGANS Thomas G. Wiggans |
Chief Executive Officer and Chairman of the Board (Principal Executive Officer) | March 6, 2017 | ||
/s/ ANDREW L. GUGGENHIME Andrew L. Guggenhime |
Chief Operating Officer and Chief Financial Officer (Principal Financial and Accounting Officer) | March 6, 2017 | ||
/s/ EUGENE A. BAUER M.D. Eugene A. Bauer |
Chief Medical Officer and Director | March 6, 2017 | ||
/s/ EMMANUEL CAEYMAEX Emmanuel Caeymaex |
Director | March 6, 2017 | ||
/s/ DAVID E. COHEN, M.D., M.P.H. David E. Cohen, M.D., M.P.H. |
Director | March 6, 2017 | ||
/s/ FRED B. CRAVES Fred B. Craves |
Lead Independent Director | March 6, 2017 | ||
/s/ MATTHEW K. FUST Matthew K. Fust |
Director | March 6, 2017 | ||
/s/ MARK D. MCDADE Mark D. McDade |
Director | March 6, 2017 | ||
/s/ JAKE R. NUNN Jake R. Nunn |
Director | March 6, 2017 | ||
/s/ WILLIAM R. RINGO William R. Ringo |
Director | March 6, 2017 | ||
/s/ KATHLEEN SEBELIUS |
Director |
|||
Kathleen Sebelius | March 6, 2017 |
EXHIBIT INDEX
Exhibit | Incorporated by Reference | Filed | ||||||||||
Number |
Exhibit Description |
Form |
File No. |
Exhibit |
Filing Date |
Herewith | ||||||
4.1 | Restated Certificate of Incorporation of the Registrant. | 10-Q | 001-36668 | 3.1 | 11/12/2014 | |||||||
4.2 | Restated Bylaws of the Registrant. | 10-Q | 001-36668 | 3.2 | 11/12/2014 | |||||||
4.3 | Form of Common Stock Certificate. | S-1 | 333-198410 | 4.1 | 8/27/2014 | |||||||
5.1 | Opinion of Fenwick & West LLP. | X | ||||||||||
23.1 | Consent of Independent Registered Public Accounting Firm. | X | ||||||||||
23.2 | Consent of Fenwick & West LLP (included in Exhibit 5.1). | X | ||||||||||
24.1 | Power of Attorney (included on the signature page of this Registration Statement). | X | ||||||||||
99.1 | 2014 Equity Incentive Plan and forms of stock option award agreement, stock option exercise agreement, restricted stock agreement, stock appreciation right award agreement, restricted stock unit award agreement, performance shares award agreement and stock bonus agreement. | 10-Q | 001-36668 | 10.3 | 11/12/2014 | |||||||
99.2 | 2014 Employee Stock Purchase Plan and form of subscription agreement. | 10-Q | 001-36668 | 10.4 | 11/12/2014 |