UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 359,696 | $ 6.58 | I | By Advanced Technology Ventures VII, L.P. (1) |
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 14,434 | $ 6.58 | I | By Advanced Technology Ventures VII (B), L.P. (2) |
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 6,938 | $ 6.58 | I | By Advanced Technology Ventures VII (C), L.P. (3) |
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 2,144 | $ 6.58 | I | By ATV Entrepreneurs VII, L.P. (4) |
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 60,037 | $ 6.58 | I | By Advanced Technology Ventures VI, L.P. (5) |
Common Stock Warrant (right to buy) | 06/20/2005 | 06/20/2015 | Common Stock | 3,832 | $ 6.58 | 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 |  |  |
ATV Associates VII, L.L.C. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Associates VI, L.L.C. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
Advanced Technology Ventures VI, L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
Advanced Technology Ventures VII(B), L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Entrepreneurs VI, L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
Advanced Technology Ventures VII(C), L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Alliance 2003, L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Entrepreneurs VII, L.P. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Alliance Associates, L.L.C. C/O ADVANCED TECHNOLOGY VENTURES 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
By ATV Associates VII, its General Partner, by Jean M. George, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By /s/ Jean M. George, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By /s/ Pieter Schiller, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Asscociates VI, L.L.C., its General Partner, by /s/ Pieter Schiller, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Asscociates VII, L.L.C., its General Partner, by /s/ Jean M. George, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Asscociates VI, L.L.C., its General Partner, by /s/ Pieter Schiller, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Asscociates VII, L.L.C., its General Partner, by /s/ Jean M. George, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Alliance Asscociates, L.L.C., its General Partner, by /s/ Jean M. George, Manager | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By ATV Asscociates VII, L.L.C., its General Partner, by /s/ Jean M. George, Managing Director | 11/03/2005 | |
**Signature of Reporting Person | Date | |
By /s/ Jean M. George, Manager | 11/03/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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. ATV Associates VII, L.L.C. disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein. |
(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. ATV Associates VI, L.L.C. disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein. |
(6) | The shares are owned by ATVE VI. |
(7) | The shares are owned by ATV Alliance 2003, L.P. ATV Alliance Associates, L.L.C. is the sole general partner of ATV Alliance 2003, L.P. and ATV Alliance Associates, L.L.C. disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein. |