OMB APPROVAL |
||
OMB Number: 3235-0145 |
||
Expires: February 28, 2009 |
||
Estimated average burden hours per response...11 |
||
Item 1(a). | Name of Issuer: Momenta Pharmaceuticals, Inc. |
Item 1(b). | Address of Issuers Principal Executive Offices: 675 West Kendall Street, Cambridge, MA 02142 |
Item 2(a). | Name of Person Filing: Atlas Venture Fund V, L.P. (Atlas V), Atlas Venture Entrepreneurs Fund V, L.P. (AVE V), Atlas Venture Fund VI, L.P. (Atlas VI), Atlas Venture Fund VI GmbH & Co. KG (Atlas VI GmbH), Atlas Venture Entrepreneurs Fund VI, L.P. (AVE VI), Atlas Venture Associates V, L.P. (AVA V LP), Atlas Venture Associates VI, L.P. (AVA VI LP), Atlas Venture Associates V, Inc. (AVA V Inc.), Atlas Venture Associates VI, Inc. (AVA VI Inc.), Axel Bichara (Bichara), Jean-Francois Formela (Formela) and Christopher Spray (Spray). Atlas V, AVE V, Atlas VI, Atlas VI GmbH and AVE VI are referred to individually herein as a Fund and collectively as the Funds. The persons and entities named in this Item 2(a) are referred to individually herein as a Filing Person and collectively as the Filing Persons. AVA V Inc. is the sole general partner of AVA V LP. AVA V LP is the sole general partner of Atlas V and AVE V. Messrs. Bichara, Formela and Spray are directors of AVA V Inc. AVA VI Inc. is the sole general partner of AVA VI LP. AVA VI LP is the sole general partner of Atlas VI and AVE VI and the managing limited partner of Atlas VI GmbH. Messrs. Bichara, Formela and Spray are directors of AVA VI Inc. |
Item 2(b). | Address of Principal Business Office or, if None, Residence: The principal business office of each of the Filing Persons is: |
Item 2(c). | Citizenship: Atlas V, AVE V, Atlas VI, AVE VI, AVA V LP and AVA VI LP is each a limited partnership formed under the laws of the State of Delaware. AVA V Inc. and AVA VI Inc. is each a corporation formed under the laws of the State of Delaware. Atlas VI GmbH is a limited partnership formed under the laws of Germany. Mr. Bichara is a citizen of Germany. Mr. Formela is a citizen of France. Mr. Spray is a citizen of the United Kingdom. |
Item 2(d). | Title of Class of Securities: Common Stock, $0.0001 par value per share (the Common Stock). |
Item 2(e). | CUSIP Number: 60877T100 |
Item 3. | If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: |
Page 2 of 8 pages
Item 4. | Ownership. Not Applicable. |
Item 5. | Ownership of Five Percent or Less of a Class. Each Filing Person has ceased to own beneficially more than 5% of the outstanding Common Stock of Momenta Pharmaceuticals, Inc. |
Page 3 of 8 pages
* | ||||||
Axel Bichara | ||||||
* | ||||||
Jean-Francois Formela | ||||||
* | ||||||
Christopher Spray | ||||||
Atlas Venture Fund V, L.P. Atlas Venture Entrepreneurs Fund V, L.P. By: Atlas Venture Associates V, L.P. their general partner By: Atlas Venture Associates V, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates V, L.P. By: Atlas Venture Associates V, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates V, Inc. | ||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President |
Page 4 of 8 pages
Atlas Venture Fund VI, L.P. Atlas Venture Entrepreneurs Fund VI, L.P. By: Atlas Venture Associates VI, L.P. their general partner By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Fund VI GmbH & Co. KG By: Atlas Venture Associates VI, L.P. its managing limited partner By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates VI, L.P. By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates VI, Inc. | ||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President |
* By: | /s/ Kristen
Laguerre By Kristen Laguerre in her individual capacity and as Attorney-in-Fact |
Page 5 of 8 pages
* | ||||||
Axel Bichara | ||||||
* | ||||||
Jean-Francois Formela | ||||||
* | ||||||
Christopher Spray | ||||||
Atlas Venture Fund V, L.P. Atlas Venture Entrepreneurs Fund V, L.P. By: Atlas Venture Associates V, L.P. their general partner By: Atlas Venture Associates V, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates V, L.P. By: Atlas Venture Associates V, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates V, Inc. | ||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President |
Page 6 of 8 pages
Atlas Venture Fund VI, L.P. Atlas Venture Entrepreneurs Fund VI, L.P. By: Atlas Venture Associates VI, L.P. their general partner By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Fund VI GmbH & Co. KG By: Atlas Venture Associates VI, L.P. its managing limited partner By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates VI, L.P. By: Atlas Venture Associates VI, Inc. its general partner |
||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President | |||||
Atlas Venture Associates VI, Inc. | ||||||
By: | *
|
|||||
Name: | Kristen Laguerre | |||||
Title: | Vice President |
* By: | /s/ Kristen
Laguerre By Kristen Laguerre in her individual capacity and as Attorney-in-Fact |
Page 7 of 8 pages
/s/ Peter Barrett
|
||||
/s/ Axel Bichara
|
||||
/s/ Jeffrey Fagnan
|
||||
/s/ Jean-Francois Formela
|
||||
/s/ Christopher Spray
|
Page 8 of 8 pages