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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FHM IV LP TWO UNION SQUARE 601 UNION STREET STE 3200 SEATTLE, WA 98101 |
X | |||
FRAZIER HEALTHCARE IV LP |
X | |||
FRAZIER AFFILIATES IV LP |
X | |||
Frazier Healthcare V, LP 601 UNION STREET, SUITE 3200 SEATTLE, WA 98101 |
X | |||
FHM V, LP 601 UNION STREET, SUITE 3200 SEATTLE, WA 98101 |
X | |||
FHM V, LLC 601 UNION STREET, SUITE 3200 SEATTLE, WA 98101 |
X |
FHM IV, LP By: FHM IV, LLC, its General Partner By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**Signature of Reporting Person | Date | |
Frazier Healthcare IV, LP By: FHM IV, LP, its General Partner By: FHM IV, LLC, its General Partner By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**Signature of Reporting Person | Date | |
Frazier Affiliates, IV, LP By: FHM IV, LP, its General Partner By: FHM IV, LLC, its General Partner By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**Signature of Reporting Person | Date | |
Frazier Healthcare V, LP By: FHM V, LP, its General Partner By: FHM V, LLC, its General Partner By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**Signature of Reporting Person | Date | |
FHM V, LP By: FHM V, LLC, its General Partner By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**Signature of Reporting Person | Date | |
FHM V, LLC By: /s/ Thomas S. Hodge, Chief Operating Officer | 07/27/2007 | |
**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 securities are owned directly by Frazier Healthcare V, LP. FHM V, LP, a joint filer, serves as the general partner of Frazier Healthcare V, LP and FHM V, LLC, serves as the general partner of FHM V, LP. FHM V, LP and FHM V, LLC disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein. |
(2) | There is no direct relationship among or between FHM V, LLC, FHM V, L.P. and Frazier Healthcare V, L.P., on the one hand, and FHM IV, LP, Frazier Healthcare IV, LP and Frazier Affiliates IV, LP, on the other. Beneficial ownership of Issuer shares as described herein and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of Section 16 or for any other purpose. |
Remarks: Exhibit 99.1 - Joint Filer Information |