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*
WALTON ALAN G

(Last) (First) (Middle)
315 POST ROAD WEST

(Street)
WESTPORT CT 06880

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ACADIA PHARMACEUTICALS INC [ ACAD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/02/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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 06/02/2004 C 2,291,667 A (1) 2,291,667 I See Footnote(2)
Common Stock 06/02/2004 C 23,148 A (1) 23,148 I See Footnote(3)
Common Stock 06/02/2004 P 282,169 A $7 2,573,836 I See Footnote(2)
Common Stock 06/02/2004 P 2,831 A $7 25,979 I See Footnote(3)
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 F Convertible Preferred Stock (4) 06/02/2004 C 2,291,667 (5) (6) Common Stock 2,291,667 (6) 0 I See Footnote(2)
Series F Convertible Preferred Stock (4) 06/02/2004 C 23,148 (5) (6) Common Stock 23,148 (6) 0 I See Footnote(3)
Explanation of Responses:
1. N/A - Securities were issued upon conversion of convertible preferred stock.
2. Securities held of record by Oxford Bioscience Partners IV L.P. ("OBP IV"). Dr. Walton, as an individual general partner of OBP Management IV L.P., the sole general partner of OBP IV may be deemed to beneficially own the shares held of record by OBP IV. Dr. Walton disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
3. Securities held of record by mRNA Fund II L.P. ("mRNA"). Dr. Walton, as an individual general partner of OBP Management IV L.P., the sole general partner of mRNA may be deemed to beneficially own the shares held of record by mRNA. Dr. Walton disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.
4. 1-for-1.
5. Immediate
6. N/A
Remarks:
Alan G. Walton 06/02/2004
** 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).
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