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Ownership Document |
Schema Version: X0306 |
Document Type: 4 |
Period of Report: 6/16/20 |
Not Subject to Section 16: 0 |
Issuer: |
| Issuer CIK: 1427925 |
| Issuer Name: ACELRX PHARMACEUTICALS INC |
| Issuer Trading Symbol: ACRX |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1594021 |
| | Owner Name: Afable Richard |
| Reporting Owner Address: |
| | Owner Street 1: C/O ACELRX PHARMACEUTICALS, INC. |
| | Owner Street 2: 351 GALVESTON DRIVE |
| | Owner City: REDWOOD CITY |
| | Owner State: CA |
| | Owner ZIP Code: 94063 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| | Is Other? No |
Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | | Footnote ID: F1 |
| | Transaction Date: |
| | | Value: 6/16/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 7,500 |
| Footnote ID: F2 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 12,250 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (Right to Buy) |
| | Conversion or Exercise Price: |
| | | Value: 1.43 |
| | Transaction Date: |
| | | Value: 6/16/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 15,000 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 6/16/21 |
| | | Footnote ID: F3 |
| | Expiration Date: |
| | | Value: 6/15/30 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 15,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 15,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Footnotes: |
| Footnote - F1: Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. |
| Footnote - F2: 100% of the restricted stock units shall vest on the first anniversary of the grant date, subject to Reporting Person's continuous service to the Company. |
| Footnote - F3: 100% of the option shares subject to the option shall vest on the first anniversary of the grant date, subject to Reporting Person's continuous service to the Company. |
Remarks: |
Owner Signature: |
| Signature Name: /s/ Martha Adler, Attorney-In-Fact |
| Signature Date: 6/16/20 |