UNITED STATES

 

 

SECURITIES AND EXCHANGE COMMISSION

 

 

Washington, D.C. 20549

 

 

 

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934
(Amendment No.     )*

 

Insulet Corporation

(Name of Issuer)

Common Stock

(Title of Class of Securities)

45784P101

(CUSIP Number)

 

December 31, 2009

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

o

Rule 13d-1(c)

x

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 


 

 

1.

Names of Reporting Persons
Versant Venture Capital I, L.P.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware, United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
1,957,713 (2)

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
1,957,713 (2)

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
1,957,713 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.36% (3)

 

 

12.

Type of Reporting Person (See Instructions)
PN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   VVI-LLC serves as the general partner of VVC- I and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC-I.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

2


 

 

1.

Names of Reporting Persons
Versant Side Fund I, L.P.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware, United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
38,301 (2)

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
38,301 (2)

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
38,301 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
0.12% (3)

 

 

12.

Type of Reporting Person (See Instructions)
PN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   VVI-LLC serves as the general partner of VSF-I and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VSF-I.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

3


 

 

1.

Names of Reporting Persons
Versant Affiliates Fund I-A, L.P.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware, United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
42,557 (2)

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
42,557 (2)

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
42,557 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
0.14% (3)

 

 

12.

Type of Reporting Person (See Instructions)
PN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   VVI-LLC serves as the general partner of VAF-I-A and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VAF-I-A.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

4


 

 

1.

Names of Reporting Persons
Versant Affiliates Fund I-B, L.P.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware, United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
89,372 (2)

 

6.

Shared Voting Power
0

 

7.

Sole Dispositive Power
89,372 (2)

 

8.

Shared Dispositive Power
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
89,372 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
0.29% (3)

 

 

12.

Type of Reporting Person (See Instructions)
PN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   VVI-LLC serves as the general partner of VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

5


 

 

1.

Names of Reporting Persons
Versant Ventures I, LLC

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Delaware, United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
OO

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

6


 

 

1.

Names of Reporting Persons
BRIAN G. ATWOOD

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009. 

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

7


 

 

1.

Names of Reporting Persons
SAMUEL D. COLELLA

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

8


 

 

1.

Names of Reporting Persons
ROSS A. JAFFE, M.D.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
11,810 (2)

 

6.

Shared Voting Power
2,127,943 (3)

 

7.

Sole Dispositive Power
11,810 (2)

 

8.

Shared Dispositive Power
2,127,943 (3)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,139,753 (2)(3)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.95% (4)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Consists of options to acquire 11,810 shares of Common Stock held by RAJ for the benefit of VVI-LLC.

 

(3)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009. 

 

(4)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

9


 

 

1.

Names of Reporting Persons
WILLIAM J. LINK, Ph.D.

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

10


 

 

1.

Names of Reporting Persons
DONALD B. MILDER

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

11


 

 

1.

Names of Reporting Persons
BARBARA N. LUBASH

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

12


 

 

1.

Names of Reporting Persons
REBECCA B. ROBERTSON

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

x (1)

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With:

5.

Sole Voting Power
0

 

6.

Shared Voting Power
2,127,943 (2)

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
2,127,943 (2)

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
2,127,943 (2)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row 9
6.91% (3)

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

(1)   This Schedule 13G is filed by Versant Venture Capital I, L.P. (“VVC- I”), Versant Side Fund I, L.P. (“VSF-I), Versant Affiliates Fund I-A, L.P. (“VAF-I-A”), Versant Affiliates Fund I-B, L.P. (“VAF-I-B”), Versant Ventures I, LLC (“VVI-LLC”), Brian G. Atwood (“BGA”), Samuel D. Colella (“SDC”), Ross A. Jaffe (“RAJ”), William J. Link (“WJL”), Donald B. Milder (“DBM”), Barbara N. Lubash (“BNL”) and Rebecca B. Robertson (“RBR”) (collectively, the “Versant Entities”).  The Versant Entities expressly disclaim status as a “group” for purposes of this Schedule 13G.

 

(2)   Includes: (i) 1,957,713 shares held by VVC-I.; (ii) 38,301 shares held by VSF-1; (iii) 42,557 shares held by VAF-I-A; and (iv) 89,372 shares held by VAF-I-B.   VVI-LLC serves as the general partner of VVC- I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ , WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC and share voting and dispositive power over the shares held by VVC- I, VSF-I, VAF-I-A and VAF-I-B.  The information with respect to the ownership of the Common Stock of the Issuer by the persons filing this statement on Schedule 13G is provided as of December 31, 2009.

 

(3)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

13


 

Item 1(a).

 

Name of Issuer:
INSULET CORPORATION

Item 1(b).

 

Address of Issuer’s Principal Executive Offices
9 Oak Park Drive
Bedford, MA 01730

 

Item 2(a).

 

Name of Person Filing:
Versant Venture Capital I, L.P. (“VVC-I”)

Versant Side Fund I, L.P. (“VSF-I”)

Versant Affiliates Fund I-A, L.P. (“VAF-I-A”)

Versant Affiliates Fund I-B, L.P. (“VAF-I-B”)

Versant Ventures I, LLC (“VVI-LLC”)

Brian G. Atwood (“BGA”)

Samuel D. Colella (“SDC”)

Ross A. Jaffe (“RAJ”)

William J. Link (“WJL”)

Donald B. Milder (“DBM”)

Barbara N. Lubash (“BNL”)

Rebecca B. Robertson (“RBR”)

Item 2(b).

 

Address of Principal Business Office or, if none, Residence:
Versant Ventures

3000 Sand Hill Road, #4-210

Menlo Park, CA 94025

Item 2(c).

 

Citizenship:

 

Entities:

 

VVC-I

 

-

 

Delaware, United States of America

 

 

 

VSF-1

 

-

 

Delaware, United States of America

 

 

 

VAF-1-A

 

-

 

Delaware, United States of America

 

 

 

VAF-1-B

 

-

 

Delaware, United States of America

 

 

 

VVI-LLC

 

-

 

Delaware, United States of America

 

 

 

 

 

 

 

 

 

Individuals:

 

BGA

 

-

 

United States of America

 

 

 

SDC

 

-

 

United States of America

 

 

 

RAJ

 

-

 

United States of America

 

 

 

WJL

 

-

 

United States of America

 

 

 

DBM

 

-

 

United States of America

 

 

 

BNL

 

-

 

United States of America

 

 

 

RBR

 

-

 

United States of America

 

Item 2(d).

 

Title of Class of Securities:
Common Stock

Item 2(e).

 

CUSIP Number:
45784P101

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a:

 

Not Applicable

 

14


 

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

Versant
Entities

 

Shares Held
Directly

 

Sole Voting
Power

 

Shared Voting
Power

 

Sole Dispositive
Power

 

Shared Dispositive
Power

 

Beneficial
Ownership

 

Percentage of Class
(2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VVC-1

 

1,957,713

 

1,957,713

 

0

 

1,957,713

 

0

 

1,957,713

 

6.36

%

VSF-1

 

38,301

 

38,301

 

0

 

38,301

 

0

 

38,301

 

0.12

%

VAF-I-A

 

42,557

 

42,557

 

0

 

42,557

 

0

 

42,557

 

0.14

%

VAF-I-B

 

89,372

 

89,372

 

0

 

89,372

 

0

 

89,372

 

0.29

%

VVI-LLC

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

BGA

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

SDC

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

RAJ

 

11,810

 

11,810

 

2,127,943

 

11,810

 

2,127,943

 

2,139,753

 

6.95

%

WJL

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

DBM

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

BNL

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

RBR

 

0

 

0

 

2,127,943

 

0

 

2,127,943

 

2,127,943

 

6.91

%

 

(1)   VVI-LLC serves as the general partner of VVC-I, VSF-I, VAF-I-A, and VAF-I-B and owns no securities of the Issuer directly.  BGA, SDC, RAJ, WJL, DBM, BNL and RBR are directors and/or members of VVI-LLC.  None of BGA, SDC, RAJ, WJL, DBM, BNL and RBR owns no securities of the Issuer directly. 

 

(2)   This percentage is calculated based upon 30,793,863 shares of the Issuer’s common stock outstanding as of October 22, 2009 as set forth in the Issuer’s most recent 10-Q filed with the Securities and Exchange Commissions on October 26, 2009.

 

Item 5.

Ownership of 5 Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following   o.

 

Item 6.

Ownership of More than 5 Percent on Behalf of Another Person

Not applicable

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not applicable

 

Item 8.

Identification and Classification of Members of the Group

Not applicable

 

Item 9.

Notice of Dissolution of a Group

Not applicable

 

Item 10.

Certification

Not applicable

 

15


 

SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

Dated: February 12, 2010

 

Versant Affiliates Fund I-A, L.P.

 

By:

Versant Ventures I, LLC

Its:

General Partner

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

Versant Affiliates Fund I-B, L.P.

 

By:

Versant Ventures I, LLC

Its:

General Partner

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

Versant Side Fund I, L.P.

 

By:

Versant Ventures I, LLC

Its:

General Partner

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

Versant Venture Capital I, L.P.

 

 

By:

Versant Ventures I, LLC

Its:

General Partner

 

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

Versant Ventures I, LLC

 

 

By:

/s/ Robin L. Praeger

 

 

Managing Member

 

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Brian G. Atwood

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Samuel D. Colella

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Ross A. Jaffe

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

William J. Link

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Donald B. Milder

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Barbara N. Lubash

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Rebecca B. Robertson

 

 

16


 

EXHIBIT A

JOINT FILING STATEMENT

 

We, the undersigned, hereby express our agreement that the attached Schedule 13G (or any amendments thereto) related to the Common Stock of Insulet Corporation is filed on behalf of each of us.

 

Dated: February 12, 2010

 

 

 

Versant Affiliates Fund I-A, L.P.

 

 

 

By:

Versant Ventures I, LLC

 

Its:

General Partner

 

 

 

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

 

 

Versant Affiliates Fund I-B, L.P.

 

 

 

By:

Versant Ventures I, LLC

 

Its:

General Partner

 

 

 

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

 

 

Versant Side Fund I, L.P.

 

 

 

By:

Versant Ventures I, LLC

 

Its:

General Partner

 

 

 

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

 

 

Versant Venture Capital I, L.P.

 

 

 

By:

Versant Ventures I, LLC

 

Its:

General Partner

 

 

 

 

By:

/s/ Robin L. Praeger

 

 

Authorized Representative

 

 

 

 

Versant Ventures I, LLC

 

 

 

 

 

By:

/s/ Robin L. Praeger

 

 

Managing Member

 

 

 

 

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Brian G. Atwood

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Samuel D. Colella

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Ross A. Jaffe

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

William J. Link

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Donald B. Milder

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Barbara N. Lubash

 

 

 

/s/ Robin L. Praeger as attorney in fact

 

Rebecca B. Robertson

 

 

17