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 | ||||
Series B Convertible Preferred Stock | Â (1) | Â (3) | Common Stock | 10,828 | $ 0 (1) | I (4) | By ATV Entrepreneurs VI, L.P. |
Series C Convertible Preferred Stock | Â (1) | Â (3) | Common Stock | 9,883 | $ 0 (1) | I (4) | By ATV Entrepreneurs VI, L.P. |
Series D Convertible Preferred Stock | Â (1) | Â (3) | Common Stock | 4,997 | $ 0 (1) | I (4) | By ATV Entrepreneurs VI, L.P. |
Series B Convertible Preferred Stock | Â (2) | Â (3) | Common Stock | 169,643 | $ 0 (2) | I (5) | By Advanced Technology Ventures VI, L.P. |
Series C Convertible Preferred Stock | Â (2) | Â (3) | Common Stock | 154,849 | $ 0 (2) | I (5) | By Advanced Technology Ventures VI, L.P. |
Series D Convertible Preferred Stock | Â (2) | Â (3) | Common Stock | 78,284 | $ 0 (2) | I (5) | By Advanced Technology Ventures VI, L.P. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ATV Associates VI, L.L.C. 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
Advanced Technology Ventures VI, L.P. 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
ATV Entrepreneurs VI, L.P. 1000 WINTER STREET, SUITE 3700 WALTHAM, MA 02451 |
 |  X |  |  |
/s/ Michael A. Carusi, Managing Director | 01/31/2007 | |
**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 reported securities are convertible at any time at the option of ATV Entrepreneurs VI, L.P., but automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering, estimated to be on or about February 6, 2007. |
(2) | The reported securities are convertible at any time at the option of Advanced Technology Ventures VI, L.P., but automatically convert into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering, estimated to be on or about February 6, 2007. |
(3) | Not applicable. |
(4) | The reported securities are owned directly by ATV Entrepreneurs VI, L.P. and indirectly by ATV Associates VI, L.L.C., as general partner of ATV Entrepreneurs VI, L.P. ATV Associates VI, L.L.C. disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein. Advanced Technology Ventures VI, L.P. disclaims beneficial ownership of these securities. |
(5) | The reported securities are owned directly by Advanced Technology Ventures VI, L.P. and indirectly by ATV Associates VI, L.L.C., as general partner of Advanced Technology Ventures VI, L.P. ATV Associates VI, L.L.C. disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein. |
 Remarks: The Date of Event is based upon the date of effectiveness of the Issuer's Registration Statement on Form S-1 filed in connection with the Issuer's initial public offering, estimated to be on or about January 31, 2007.  See Exhibit 99 - Joint Filer Information. |