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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 Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 5,760 | (11) | (11) | Common Stock | 5,760 | $ 0 | 971,856 | I | See Footnotes (4) (7) | ||
Series D Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 1,592 | (11) | (11) | Common Stock | 1,592 | $ 0 | 970,264 | I | See Footnotes (4) (7) | ||
Series E Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 103,546 | (9) | (9) | Common Stock | 103,546 | $ 0 | 866,718 | I | See Footnotes (4) (8) | ||
Series B Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 474,354 | (11) | (11) | Common Stock | 474,354 | $ 0 | 392,364 | I | See Footnotes (4) (8) | ||
Series C Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 294,457 | (11) | (11) | Common Stock | 294,457 | $ 0 | 97,907 | I | See Footnotes (4) (8) | ||
Series D Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 81,396 | (11) | (11) | Common Stock | 81,396 | $ 0 | 16,511 | I | See Footnotes (4) (8) | ||
Series E-1 Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 164 | (11) | (11) | Common Stock | 164 | $ 0 | 16,347 | I | See Footnotes (4) (8) | ||
Series E-1 Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 346 | (11) | (11) | Common Stock | 346 | $ 0 | 16,001 | I | See Footnotes (4) (8) | ||
Series E-1 Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 148 | (11) | (11) | Common Stock | 544 | $ 0 | 15,853 | I | See Footnotes (4) (8) | ||
Series E-1 Preferred Stock | (2) | 02/15/2011 | 02/15/2011 | C | 7,596 | (11) | (11) | Common Stock | 7,596 | $ 0 | 8,257 | I | See Footnotes (4) (8) | ||
Series E-1 Preferred Warrant (Right to Buy) | $ 0.02 | 02/15/2011 | 02/15/2011 | X | 8,257 | 01/06/2011 | (11)(12) | Common Stock | 8,257 | $ 0 | 0 | I | See Footnote (10) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COLELLA SAMUEL D 3000 SAND HILL ROAD, BUILDING FOUR SUITE 210 MENLO PARK, CA 94025 |
X |
/s/ William Smith, attorney-in-fact | 02/16/2011 | |
**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) | Represents shares of Common Stock issued upon conversion of shares of Series E Preferred Stock on a 1-for 1.300053676865 basis. |
(2) | Not applicable. |
(3) | Versant Affiliates Fund I-A, L.P., is the record holder of the securities reported. |
(4) | Voting and investment power over the shares directly held by Versant Venture Capital I, L.P., Versant Affiliates Fund I-A, L.P., Versant Affiliates Fund I-B, L.P., and Versant Side Fund I, L.P., is held by Versant Ventures I, LLC, their sole General Partner, Samuel D. Colella, the reporting person is a Managing Member of Versant Ventures I, LLC but he disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. The individual Managing Members of Versant Ventures I, LLC are Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Barbara N. Lubash, Donald B. Milder, and Rebecca B. Robertson, all of whom share voting and dispositive control. Each respective individual General Partner disclaims beneficial ownership of these shares, except to the extent of their pecuniary interest therein. |
(5) | Represents shares of Common Stock issued upon the conversion of shares of Series B Preferred Stock, Series C Preferred Stock or Series D Preferred Stock on a 1-for-1 basis. |
(6) | Versant Affiliates Fund I-B, L.P. is the record holder of the securities reported. |
(7) | Versant Side Fund I, L.P., is the record holder of the securities reported. |
(8) | Versant Venture Capital I, L.P., is the record holder of the securities reported. |
(9) | Each share of Series E Preferred Stock automatically converted into 1.300053676865 share of Common Stock on February 15, 2011, the closing date of the Issuer's initial public offering (the "Closing") and has no expiration date. |
(10) | The Colella Family Trust U/D/T dated September 21, 1992 is the record holder of the securities reported. Samuel D. Colella and Nancy R. Colella are trustees of the Colella Family Trust U/D/T dated September 21, 1992. |
(11) | Each share of Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock or Series E-1 Preferred Stock automatically converted into one share of Common Stock on February 15, 2011 and has no expiration date. |
(12) | The warrant was automatically net exercised immediately prior to the Closing. |
Remarks: Exhibit List Exhibit 24 - Power of Attorney Form 2 of 2 |