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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 | ||||||||
Series C Convertible Preferred Stock | (2) | 12/20/2006 | C | 662,601 | (8) | (8) | Common Stock | 662,601 | $ 0 | 0 | D | ||||
Series D Convertible Preferred Stock | (6) | 12/20/2006 | C | 496,950 | (8) | (8) | Common Stock | 496,950 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BEAR STEARNS COMPANIES INC 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BEAR STEARNS ASSET MANAGEMENT INC 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BEAR STEARNS HEALTH INNOVENTURES MANAGEMENT LLC 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BSHI Members LLC 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BEAR STEARNS HEALTH INNOVENTURES LP 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
Bear Stearns Health Innoventures Offshore LP 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BX LP 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
BEAR STEARNS HEALTH INNOVENTURES EMPLOYEE FUND LP 383 MADISON AVE. NEW YORK, NY 10179 |
X | |||
RYSER STEFAN 383 MADISON AVE. NEW YORK, NY 10179 |
X |
/s/ Kenneth L. Edlow, Secretary, The Bear Stearns Companies Inc. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Roger Baumann, Senior Managing Director, Bear Stearns Asset Management, Inc. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Managing Partner, Bear Stearns Health Innoventures Management, LLC | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Authorized Signatory, Bear Stearns Asset Management Inc., Manager of BSHI Members, LLC | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Managing Partner, Bear Stearns Health Innoventures Management, LLC, General Partner of Bear Stearns Health Innoventures L.P. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Managing Partner, Bear Stearns Health Innoventures Management, LLC, General Partner of Bear Stearns Health Innoventures Offshore, L.P. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Managing Partner, Bear Stearns Health Innoventures Management, LLC, General Partner of BX, L.P. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, Managing Partner, Bear Stearns Health Innoventures Management, LLC, General Partner of Bear Stearns Health Innoventures Employee Fund, L.P. | 12/20/2006 | |
**Signature of Reporting Person | Date | |
/s/ Stefan Ryser, as an Individual | 12/20/2006 | |
**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) | Automatic conversion upon the closing of the Issuer's initial public offering of Series C Preferred Stock at a rate of 1 for 1, resulting in the issuance of 662,601 shares of common stock. The shares were issued as follows: 62,203 to Bear Stearns Health Innoventures Employee Fund, L.P. ("Employee Fund"), 78,887 to Bear Stearns Health Innoventures Offshore, L.P. ("Offshore"), 95,892 to Bear Stearns Health Innoventures, L.P. ("BSHI"), 44,568 to BSHI Members, L.L.C. ("Members") and 381,051 to BX, L.P. ("BX"). |
(2) | The Series C Preferred Stock converted into the Issuer's common stock at a rate of 1 for 1. |
(3) | The shares are held as follows: 62,203 by Employee Fund, 78,887 Offshore, 95,892 by BSHI, 44,568 Members and 381,051 by BX. Each Reporting Person disclaims beneficial ownership of any securities that exceed its pecuniary interest in the securities held by these entities. |
(4) | The Bear Stearns Companies, Inc. ("BSCI") is the parent company of Bear Stearns Asset Management, Inc. ("BSAM"). BSAM is the sole manager of Bear Stearns Health Innoventures Management, LLC ("Management") and the sole manager of Members. Dr. Ryser and Elizabeth Czerepak are managing partners of Management. Management is the sole general partner of BSHI, the sole general partner of Offshore, the sole general partner of BX, and the sole general partner of Employee Fund and Members co-invests with these funds. |
(5) | Automatic conversion upon the closing of the Issuer's initial public offering of Series D Preferred Stock at a rate of 1 for 1, resulting in the issuance of 496,950 shares of common stock. The shares were issued as follows: 46,652 to Employee Fund, 59,165 to Offshore, 71,919 to BSHI, 33,426 to Members and 285,788 to BX. |
(6) | The Series D Preferred Stock converted into the Issuer's common stock at a rate of 1 for 1. |
(7) | The shares are held as follows: 108,855 by Employee Fund, 138,052 Offshore, 167,811 by BSHI, 77,994 Members and 666,839 by BX. Each Reporting Person disclaims beneficial ownership of any securities that exceed its pecuniary interest in the securities held by these entities. |
(8) | The securities are preferred stock of the Issuer and do not have an expiration date. The securities automatically converted into common stock upon the closing of the Issuer's initial public offering. |