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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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) | $ 6.58 | 06/20/2005 | A | 359,696 | 06/20/2005 | 06/20/2015 | Common Stock | 359,696 | $ 0 | 359,696 | I | By Advanced Technology Ventures VII, L.P. (1) | |||
Common Stock Warrant (right to buy) | $ 6.58 | 06/20/2005 | A | 14,434 | 06/20/2005 | 06/20/2015 | Common Stock | 14,434 | $ 0 | 14,434 | I | By Advanced Technology Ventures VII (B), L.P. (2) | |||
Common Stock Warrant (right to buy) | $ 6.58 | 06/20/2005 | A | 6,938 | 06/20/2005 | 06/20/2015 | Common Stock | 6,938 | $ 0 | 6,938 | I | By Advanced Technology Ventures VII (C), L.P. (3) | |||
Common Stock Warrant (right to buy) | $ 6.58 | 06/20/2005 | A | 2,144 | 06/20/2005 | 06/20/2015 | Common Stock | 2,144 | $ 0 | 2,144 | I | By ATV Entrepreneurs VII, L.P. (4) | |||
Common Stock Warrant (right to buy) | $ 6.58 | 06/20/2005 | A | 60,037 | 06/20/2005 | 06/20/2015 | Common Stock | 60,037 | $ 0 | 60,037 | I | By Advanced Technology Ventures VI, L.P. (5) | |||
Common Stock Warrant (right to buy) | $ 6.58 | 06/20/2005 | A | 3,832 | 06/20/2005 | 06/20/2015 | Common Stock | 3,832 | $ 0 | 3,832 | I | By ATV Entrepreneurs VI, L.P. (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ADVANCED TECHNOLOGY VENTURES VII LP 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
Advanced Technology Ventures VII(B), L.P. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
Advanced Technology Ventures VII(C), L.P. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
ATV Entrepreneurs VII, L.P. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
Advanced Technology Ventures VI, L.P. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
ATV Entrepreneurs VI, L.P. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
ATV Associates VII, L.L.C. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X | |||
ATV Associates VI, L.L.C. 1000 WINTER STREET SUITE 3700 WALTHAM, MA 02451 |
X |
/s/ Jean M. George, Managing Director of ATV Associates VII, L.L.C. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Jean M. George, Managing Director of ATV Associates VII, L.L.C., which serves as the sole general partner of Advanced Technology Ventures VII, L.P. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Jean M. George, Managing Director of ATV Associates VII, L.L.C., which serves as the sole general partner of Advanced Technology Ventures VII (B), L.P. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Jean M. George, Managing Director of ATV Associates VII, L.L.C., which serves as the sole general partner of Advanced Technology Ventures VII (C), L.P. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Jean M. George, Managing Director of ATV Associates VII, L.L.C., which serves as the sole general partner of ATV Entrepreneurs VII, L.P. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Pieter J. Schiller, Managing Director of ATV Associates VI, L.L.C. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Pieter J. Schiller, Managing Director of ATV Associates VI, L.L.C., which serves as the sole general partner of Advanced Technology Ventures VI, L.P. | 06/22/2005 | |
**Signature of Reporting Person | Date | |
/s/ Pieter J. Schiller, Managing Director of ATV Associates VI, L.L.C., which serves as the sole general partner of ATV Entrepreneurs VI, L.P. | 06/22/2005 | |
**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 shares are owned by Advanced Technology Ventures VII, L.P. ("ATV VII"), which is under common control with Advanced Technology Ventures VII (B), L.P. ("ATV VII(B)"), Advanced Technology Ventures VII (C), L.P. ("ATV VII(C)") and ATV Entrepreneurs VII, L.P. ("ATVE VII"). ATV Associates VII, L.L.C. serves as the sole general partner of ATV VII, ATV VII(B), ATV VII(C) and ATVE VII. |
(2) | The shares are owned by ATV VII(B). |
(3) | The shares are owned by ATV VII(C). |
(4) | The shares are owned by ATVE VII. |
(5) | The shares are owned by Advanced Technology Ventures VI, L.P. ("ATV VI"), which is under common control with ATV Entrepreneurs VI, L.P. ("ATVE VI"). ATV Associates VI, L.L.C. serves as the sole general partner of ATV VI and ATVE VI. |
(6) | The shares are owned by ATVE VI. |