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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 | (1) | 04/19/2005 | C | 130,434 | (1) | (3) | Common Stock | 65,217 (1) | (1) | 0 | I | By Pronghorn Ventures IV, LLC (4) | |||
Series D Preferred Stock | (1) | 04/19/2005 | C | 22,368 | (1) | (3) | Common Stock | 11,184 (1) | (1) | 0 | I | By Pronghorn Ventures IV, LLC (4) | |||
Series C Preferred Stock | (1) | 04/19/2005 | C | 217,391 | (1) | (3) | Common Stock | 108,695 (1) | (1) | 0 | I | By RWI Group III, L.P. (2) | |||
Series D Preferred Stock | (1) | 04/19/2005 | C | 25,903 | (1) | (3) | Common Stock | 12,951 (1) | (1) | 0 | I | By RWI Group III, L.P. (2) | |||
Series C Preferred Stock | (1) | 04/19/2005 | C | 1,739,130 | (1) | (3) | Common Stock | 869,565 (1) | (1) | 0 | I | By RWI Group IV, L.P. (2) | |||
Series D Preferred Stock | (1) | 04/19/2005 | C | 207,234 | (1) | (3) | Common Stock | 103,617 (1) | (1) | 0 | I | By RWI Group IV, L.P. (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lucas Donald A C/O RWI GROUP 835 PAGE MILL ROAD PALO ALTO, CA 94304 |
X |
Donald A. Lucas | 04/19/2005 | |
**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) | Each share converted automatically into 0.5 shares of the Issuers Common Stock upon the closing of the Issuers initial public offering of Common Stock pursuant to an effective registration statement filed with the U.S. Securities and Exchange Commission. |
(2) | The Reporting Person is a founding managing director of RWI Group (RWI). As a founding managing director, the reporting person shares voting and investment power of the shares held by RWI Group III, L.P. and RWI Group IV, L.P. which are affiliated with RWI. The reporting person disclaims beneficial ownership of these shares except to his pecuniary interest therein. |
(3) | Not Applicable |
(4) | The Reporting Person is a Managing Member and disclaims beneficial ownership of these shares except to his pecuniary interest therein. |