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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Warrant (Right to Buy) | $ 2.23 | 10/05/2009 | P | 628,272 | (3) | 10/05/2014 | Common Stock | 628,272 | (1) | 628,272 | I (2) | By Partnership | |||
Common Stock Warrant (Right to Buy) | $ 1.86 | 10/05/2009 | J(4) | V | 588,235 | (3) | 08/29/2013 | Common Stock | 588,235 | (4) | 588,235 | I (2) | By Partnership |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HealthCare Ventures VIII, L.P. HEALTHCARE VENTURES LLC 44 NASSAU STREET PRINCETON, NJ 08542 |
X | |||
HealthCare Partners VIII, L.P. HEALTHCARE VENTURES LLC 44 NASSAU STREET PRINCETON, NJ 08542 |
X | |||
HealthCare Partners VIII, LLC HEALTHCARE VENTURES LLC 44 NASSAU STREET PRINCETON, NJ 08542 |
X | |||
CAVANAUGH JAMES H HEALTHCARE VENTURES LLC 44 NASSAU STREET PRINCETON, NJ 08542 |
X | |||
LAWLOR AUGUSTINE 55 CAMBRIDGE PARKWAY SUITE 301 CAMBRIDGE, MA 02142 |
X | |||
LITTLECHILD JOHN W 55 CAMBRIDGE PARKWAY SUITE 301 CAMBRIDGE, MA 02142 |
X | |||
Mirabelli Christopher 55 CAMBRIDGE PARKWAY SUITE 301 CAMBRIDGE, MA 02142 |
X | |||
WERNER HAROLD R C/O HEALTHCARE VENTURES LLC 44 NASSAU STREET PRINCETON, NJ 08542 |
X |
/s/Jeffrey Steinberg, Admin. Partner of HCVVIII and HCPVIII, Admin. Officer of the LLC and, Attorney-in-Fact for each of James H. Cavanaugh, John Littlechild, Harold Werner, Christopher Mirabelli and Augustine Lawlor | 10/07/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Administrative Partner for HealthCare Partners VIII, L.P. | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Administrative Officer for HealthCare Partners VIII, LLC | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Attorney-in-Fact for James Cavanaugh | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Attorney-in-Fact for Augustine Lawlor | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Attorney-in-Fact for John Littlechild | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Attorney-in-Fact for Christopher Mirabelli | 10/06/2009 | |
**Signature of Reporting Person | Date | |
Jeffrey Steinberg, Attorney-in-Fact for Harold Werner | 10/06/2009 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The Reporting Persons purchased 1,570,680 shares of Common Stock of the Issuer and a Warrant to purchase 628,272 shares of Common Stock of the Issuer for a purchase price of $1.91 per unit. The warrants have an exercise price equal to $2.23 per share. |
(2) | These securities are owned by HealthCare Ventures VIII, L.P. ("HCVVIII"). These securities are indirectly owned by HealthCare Partners VIII, L.P. ("HCPVIII"), the General Partner of HCVVIII, HealthCare Partners VIII, LLC (the "LLC"), the General Partner of HCPVIII and each of James Cavanaugh, Harold Werner, John Littlechild, Christopher Mirabelli and Augustine Lawlor, the Managing Directors of the LLC. Drs. Cavanaugh and Mirabelli and Messrs. Werner, Littlechild and Lawlor disclaim beneficial ownership of those securities in which they do not have a pecuniary interest and this report shall not be deemed an admission that they are the beneficial owners of these securities for purposes of Section 16, except to the entent of their pecuniary interest. |
(3) | Immediately exercisable. |
(4) | As a result of the transaction being reported herein, the exercise price of the warrant beneficially owned by the Reporting Persons, and previously reported on Form 3, as filed with the Securities and Exchange Commission on September 8, 2008 (the "Original Warrant"), was automatically reduced from $2.34 per share to $1.86 per share. |