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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series B Preferred Stock
|
Â
(1)
|
Â
(1)
|
Common Stock
|
19,879
|
$
(1)
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(2)
|
02/17/2014 |
Common Stock
|
104,420
|
$
(3)
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(4)
|
02/26/2014 |
Common Stock
|
22,590
|
$
19.37
|
D
|
Â
|
* |
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 Issuer's Preferred Stock will automatically convert into Common Stock on a one-for-one basis upon the closing of the Issuer's initial public offering and has no expiration date. |
(2) |
Twenty-five percent (25%) of the option shares vest on February 18, 2005, twelve and one-half percent (12.5%) of the option shares vest on August 18, 2005 and one-forty-eighth (1/48th) of the option shares vest in equal monthly installments over the following thirty months. |
(3) |
62,652 of the option shares have an exercise price $15.09 per share, 20,884 of the option shares have an exercise price of $30.18 per share and 20,884 of the option shares have an exercise price of $45.27 per share. |
(4) |
One-third (1/3rd) of the option shares vest on February 27, 2010 and the remaining two thirds (2/3rd) of the option shares vest in equal monthly installments over the following twenty-four months. |