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
(1)
|
10/10/2007(2)
|
10/10/2007(3)
|
Common Stock
|
779,871
(4)
|
$
0
(5)
|
I
|
See footnote
(6)
|
Series C Preferred Stock
(1)
|
10/10/2007(2)
|
10/10/2007(3)
|
Common Stock
|
320,690
(4)
|
$
0
(5)
|
I
|
See footnote
(7)
|
Series D Preferred Stock
(1)
|
10/10/2007(2)
|
10/10/2007(3)
|
Common Stock
|
538,236
(4)
|
$
0
(5)
|
I
|
See footnote
(8)
|
* |
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) |
Automatically Convertible into shares of Common Stock upon the closing of the MAP Pharmaceuticals, Inc. Initial Public Offering. |
(2) |
Immediately Convertible. |
(3) |
Not Applicable. |
(4) |
Reflects 1-for-1 conversion into shares of Common Stock. |
(5) |
1-for-1 |
(6) |
Represents 760,926 shares held by Skyline Venture Partners Qualified Purchaser Fund III, L.P. ("SVPQFIII") and 18,945 shares held by Skyline Venture Partners III, L.P. ("SVPIII") Skyline Venture Management III, LLC ("SVMIII) is the General Partner of both Skyline Venture Partners Qualified Purchaser Fund III, L.P. and Skyline Venture Partners III, L.P. In such capacities, SVMIII may be deemed to share voting and investment powers with respect to the shares of Series B Preferred Stock held by SVPIII, SVPQFIII, and John Freund and Yasunori Kaneko as Managing Directors of SVMIII may be deemed to share voting and investment power with respect to the shares of Series B Preferred Stock held by SVPIII and SVPQFIII. The reporting persons/entities disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein. |
(7) |
Represents 312,900 shares held by SVPQFIII and 7,790 shares held by SVPIII. SVMIII is the General Partner of both SVPQFIII and SVPIII . In such capacities, SVMIII may be deemed to share voting and investment powers with respect to the shares of Series C Preferred Stock held by SVPIII, SVPQFIII, and John Freund and Yasunori Kaneko as Managing Directors of SVMIII may be deemed to share voting and investment power with respect to the shares of Series C Preferred Stock held by SVPIII and SVPQFIII. The reporting persons/entities disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein. |
(8) |
Represents 448,600 shares held by SVPQFIII., 11,168 shares held by SVPIII. and 78,468 shares held by Skyline Expansion Fund, L.P. ("SEF"). SVMIII is the General Partner of both SVPQFIII and SVPIII, as well as the Managing Member of Skyline Expansion Fund Management, LLC, the General Partner of SEF. In such capacities, SVMIII may be deemed to share voting and investment powers with respect to the shares of Series D Preferred Stock held by SVPIII, SVPQFIII, and John Freund and Yasunori Kaneko as Managing Directors of SVMIII may be deemed to share voting and investment power with respect to the shares of Series D Preferred Stock held by SVPIII and SVPQFIII. The reporting persons/entities disclaim beneficial ownership of such securities except to the extent of their pecuniary interest therein. |