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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 B Convertible Preferred Stock | (2) | 10/31/2006 | C | 6,071,204 (3) (5) | (2) | (4) | Common Stock | 758,894 (3) (5) | $ 0 | 0 | I | See Footonte (3) | |||
Series C Convertible Preferred Stock | (2) | 10/31/2006 | C | 3,306,866 (5) (6) | (2) | (4) | Common Stock | 494,283 (5) (6) | $ 0 | 0 | I | See Footonte (6) | |||
Series C-2 Convertible Preferred Stock | (2) | 10/31/2006 | C | 3,656,461 (5) (7) | (2) | (4) | Common Stock | 457,054 (5) (7) | $ 0 | 0 | I | See Footonte (7) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SCHRODER VENTURE MANAGERS LTD SCHRODER ADMINISTRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM 11 |
X | |||
SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II LP1 SCHRODER ADMINISTRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM 11 |
X | |||
Schroder Ventures International Life Sciences Fund II L.P.2 SCHRODER ADMINISTRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM-11 |
X | |||
Schroder Ventures International Life Sciences Fund II Strategic Partners L.P. SCHRODER ADMINISTRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM 11 |
X | |||
Schroder Ventures International Life Sciences Fund II L.P.3 SCHRODER ADMINSITRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM-11 |
X | |||
SV (Nominees) LTD as Nominee of Schroder Ventures Investments LTD SCHRODER ADMINISTRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM 11 |
X | |||
SCHRODER VENTURES MANAGERS INC SCHRODER ADMINSITRATIVE SERVICES 22 CHURCH STREET HAMILTON, D0 HM11 |
X | |||
SITCO Nominees Ltd. VC 01903 as Nominee of Schroder Ventures International Life Sciences Fund II Group Co-Investment Scheme SCHRODER ADMINISTRATIVE SERVICES LIMITED 22 CHURCH STREET HAMILTON, D0 HM-11 |
X |
/s/ Schroder Venture Managers Ltd. by Deborah Speight, Director and Scott Burns, Authorized Signatory | 11/02/2006 | |
**Signature of Reporting Person | Date | |
(see signatures on Exhibit 99.2) | 11/02/2006 | |
**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) | See "Notes to Footnote 1" on Exhibit 99.1 |
(2) | Upon the closing of the issuer's initial public offering, each share of Series B and Series C-2 Convertible Preferred Stock automatically converted into approximately 0.125 shares of common stock and each share of Series C Convertible Preferred Stock automatically converted into approximately 0.149 shares of common stock. The Series B, Series C and Series C-2 Convertible Preferred Stock conversion rates reflect the 1-for-8 reverse stock split, which became effective on October 24, 2006. |
(3) | See "Notes to Footnote 3" on Exhibit 99.1 |
(4) | Not applicable |
(5) | Includes shares of preferred stock issued as a dividend which was paid upon the conversion of the preferred stock. |
(6) | See "Notes to Footnote 6" on Exhibit 99.1 |
(7) | See "Notes to Footnote 7" on Exhibit 99.1 |