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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 | ||||||||
Non-qualified Stock Option (right to buy) | $ 2.35 | 05/28/2008 | D | 6,451 | (2) | 05/02/2016 | Common Stock | 6,451 | $ 0 | 0 | D (3) (4) | ||||
Non-qualified Stock Option (right to buy) | $ 6.69 | 05/28/2008 | D | 6,451 | (2) | 05/13/2017 | Common Stock | 6,451 | $ 0 | 0 | D (3) (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MINOCHERHOMJEE ARDA 9717 PACIFIC HEIGHTS BLVD. SAN DIEGO, CA 92121 |
X | X |
/s/ Amy A. Seidlinger for Arda M. Minocherhomjee | 05/30/2008 | |
**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) | The shares are held as follows: 1,872,801 by William Blair Capital Partners VII, QP L.P. and 72,160 by William Blair Capital Partners VII, L.P. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. |
(2) | The Non-qualified Stock Option had fully vested prior to the close of the merger between the Issuer, Boston Scientific Scimed, Inc. and Padres Acquisition Corp. The Non-qualified Stock Option was not exercised and therefore was canceled at the close of the merger between the Issuer, Boston Scientific Scimed, Inc. and Padres Acquisition Corp. |
(3) | The Reporting Person is a managing director and a member of William Blair Capital Management VII, L.L.C., the general partner of William Blair Capital Management VII, L.P. The Reporting Person is also a managing director and limited partner of William Blair Capital Management, L.P., the general partner of William Blair Capital Partners VII QP, L.P. and William Blair Capital Partners VII, L.P. Under various partnership agreements, the Reporting Person may be deemed to hold the reported option for the benefit of William Blair Capital Management VII, L.P., William Blair Capital Partners VII QP, L.P. and/or William Blair Capital Partners VII, L.P. As a result, (Continued in footnote 4) |
(4) | William Blair Capital Management VII, L.L.C., William Blair Capital Management VII, L.P., William Blair Capital Partners VII QP, L.P. and William Blair Capital Partners VII, L.P. may be deemed to be indirect beneficial owners of all or a potion of the option, and the Reporting Person may also be deemed an indirect beneficial owner of the option through his interest in William Blair Capital Management VII, L.P. The Reporting Person hereby disclaims beneficial ownership of the option except to the extent of his pecuniary interest therein. |