Initial Statement of Beneficial Ownership (3)
April 07 2015 - 6:03PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
*
BURNS THOMAS M.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
4/3/2015
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3. Issuer Name
and
Ticker or Trading Symbol
XOMA Corp [XOMA]
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(Last)
(First)
(Middle)
C/O XOMA CORPORATION, 2910 SEVENTH STREET
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Chief Financial Officer /
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(Street)
BERKELEY, CA 94710
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Shares
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93760
(1)
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D
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Common Shares
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6947
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I
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by 401(k)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Incentive Share Option (right to buy)
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1/7/2013
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1/7/2021
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Common Shares
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7460
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$5.83
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D
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Incentive Share Option (right to buy)
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3/1/2014
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3/1/2020
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Common Shares
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5333
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$7.35
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D
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Incentive Share Option (right to buy)
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12/26/2011
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2/26/2019
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Common Shares
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2400
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$8.4
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D
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Incentive Share Option (right to buy)
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12/8/2008
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12/8/2018
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Common Shares
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666
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$16.05
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D
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Incentive Share Option (right to buy)
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8/14/2010
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8/14/2016
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Common Shares
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933
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$25.2
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D
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Incentive Share Option (right to buy)
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2/21/2012
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2/21/2018
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Common Shares
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1666
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$40.65
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D
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Incentive Share Option (right to buy)
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2/21/2011
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2/21/2017
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Common Shares
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800
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$50.85
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D
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Incentive Share Option (right to buy)
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10/31/2011
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10/31/2017
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Common Shares
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633
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$55.05
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D
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Non-Qualified Share Option (right to buy)
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(2)
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2/9/2022
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Common Shares
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16000
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$1.59
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D
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Non-Qualified Share Option (right to buy)
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(3)
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2/28/2023
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Common Shares
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8700
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$2.715
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D
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Non-Qualified Share Option (right to buy)
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(4)
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4/3/2025
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Common Shares
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5000
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$3.5
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D
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Non-Qualified Share Option (right to buy)
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(5)
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2/26/2025
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Common Shares
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30740
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$3.83
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D
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Non-Qualified Share Option (right to buy)
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(6)
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6/16/2024
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Common Shares
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87000
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$4.66
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D
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Non-Qualified Share Option (right to buy)
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(7)
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2/27/2024
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Common Shares
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13050
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$8.91
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D
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Explanation of Responses:
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(
1)
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Represents shares directly owned by Mr. Burns as of April 3, 2015, the date on which Mr. Burns became a reporting person. These shares consist of (1) 93,760 shares underlying restricted stock units awarded to Mr. Burns through April 3, 2015; and (2) 6,947 shares held directly under the XOMA Ltd. Deferred Savings Plan.
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(
2)
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Exercisable with respect to 1/48th of options in monthly increments beginning March 09, 2012 and ending February 9, 2016.
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(
3)
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Exercisable with respect to 1/48th of options in monthly increments beginning 3/28/2013 and ending 2/28/2017.
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(
4)
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Exercisable with respect to 1/48th of options in monthly increments beginning May 3, 2015 and ending April 3, 2019.
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(
5)
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Exercisable with respect to 1/48th of options in monthly increments beginning March 26, 2015 and ending February 26, 2018.
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(
6)
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Exercisable as to (a) 25% of the option shares upon the first anniversary of the date of grant, and (b) the remaining 75% of the option shares in thirty-six (36) equal and consecutive monthly installments beginning one year and one month after the date of grant.
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(
7)
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Exercisable with respect to 1/48th of options in monthly increments beginning March 27, 2014 and ending February 27, 2018.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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BURNS THOMAS M.
C/O XOMA CORPORATION
2910 SEVENTH STREET
BERKELEY, CA 94710
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Chief Financial Officer
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Signatures
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Russell J. Wood
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4/7/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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