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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
INTERWEST PARTNERS X LP 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
CLEVELAND BRUCE A 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
GIANOS PHILIP T 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
Holmes W Stephen 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
Kjellson Nina S 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
Kliman Gilbert H 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner | |||
Pepper Douglas A 2710 SAND HILL ROAD SUITE 200 MENLO PARK, CA 94025 |
Former 10% Owner |
/s/ W. Stephen Holmes, Managing Director | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s/ Bruce A. Cleveland by Karen A. Wilson Power of Attorney | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s/ Philip T. Gianos by Karen A. Wilson Power of Attorney | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s/ W. Stephen Holmes | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s/ Nina S. Kjellson by Karen A. Wilson Power of Attorney | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s/ Gilbert H. Kliman by Karen A. Wilson Power of Attorney | 08/07/2013 | |
**Signature of Reporting Person | Date | |
/s Douglas A. Pepper by Karen A. Wilson Power of Attorney | 08/07/2013 | |
**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) | Represents pro rata in-kind distribution of 600,00 shares by InterWest Partners X, LP ("IW10") without consideration to its limited and general partners in accordance wiith the terms of the InterWest Partners X, LP Limited Partnership Agreement. |
(2) | The shares are owned by InterWest Partners X, LP ("IW10"). InterWest Management Partners X, LLC ("IMP10") is the general partner of IW10. Bruce A. Cleveland, Philip T. Gianos, W. Stephen Holmes, Nina S. Kjellson, Gilbert H. Kliman, Arnold L. Oronsky, and Douglas A. Pepper are managing directors of IMP10. Keval Desai, Douglas Fisher and Khaled A. Nasr are venture members of IMP10. Each managing director and venture member of IMP10 disclaims beneficial ownership of such shares, except to the extent of their pecuniary interest therein. |
Remarks: Due to limitations of the EDGAR software, this Form 4 is filed on behalf of InterWest Partners X, LP and certain other Reporting Persons, and is being filed on two Forms 4 (Part I and Part II) (collectively, the "InterWest Form 4"). This filing represents Part I of the InterWest Form 4 and should be read together with Part II. Part I and Part II of the InterWest Form 4 shall constitute one filing. |