SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
ROE ROBERT L

(Last) (First) (Middle)
C/O CORCEPT THERAPEUTICS INCORPORATED
275 MIDDLEFIELD ROAD

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/14/2004
3. Issuer Name and Ticker or Trading Symbol
CORCEPT THERAPEUTICS INC [ CORT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President and Secretary
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 250,000(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series B Preferred Stock (5) (6) Common Stock 32,007 (4) D
Stock Option (right to buy) (2) 10/06/2010 Common Stock 10,000 0.1 D
Employee Stock Option (right to buy) (3) 11/23/2013 Common Stock 100,000 7 D
Explanation of Responses:
1. A portion of the shares are subject to a right of repurchase by Corcept Therapeutics Incorporated
2. Exercisable with respect to 20% of the total number of option shares on 10/6/01 and with respect to an additional 1.67% of the total number of option shares on the monthly anniversary of 10/6/01 in each month thereafter.
3. Immediately exercisable, subject to a right of repurchase by Corcept Therapeutics Incorporated, that shall lapse with respect to 20% of the shares on 11/23/2004 and with respect to an additional 1.67% of the total number of option shares on the monthly anniversary of 11/23/2004 in each month thereafter.
4. Each share is convertible without consideration into three (3) shares of Common Stock.
5. Immediately
6. Not applicable
/s/ Fred Kurland, CFO of Corcept Therapeutics Incorporated attorney-in-fact 04/14/2004
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.
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POWER OF ATTORNEY FOR SECTION 16 REPORTING
The undersigned hereby appoints Joseph K. Belanoff, in his capacity as
Chief Executive Officer of Corcept Therapeutics Incorporated (the "Company"),
Andrew Galligan, in his capacity as Chief Financial Officer of the Company, and
either of them with full power of substitution or their respective successors in any
such offices, as the attorney-in-fact of the undersigned to execute and file with the
Securities and Exchange Commission ("SEC") and any other authority required by
the rules and regulations of the SEC or any market or exchange on which shares of
the Company are traded and to submit to the Company, in the place and stead of
the undersigned, SEC Forms 3, 4 and 5 and any successor reporting forms
required by the SEC in connection with purchases and sales of securities of the
Company and any other transactions in securities of the Company reportable on
any such form.  This Power of Attorney shall be effective until revoked by a
written instrument executed by the undersigned and delivered to the Company at
its headquarters to the attention of the Chief Financial Officer.
Dated:  January 31, 2002

/s/ Robert L. Roe
Name:  Robert L. Roe