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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(AMENDMENT NO 2)*
ARCA BIOPHARMA, INC. |
(Name of Issuer)
Common Stock |
(Title of Class of Securities)
00211Y100 |
(CUSIP Number)
December 31, 2011 |
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ Rule 13d-1(b)
¨ Rule 13d-1(c)
x Rule 13d-1(d)
* | The remainder of this cover page shall be filled out for a reporting persons 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).
Cusip No. 00211Y100 | 13G | Page 2 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
InterWest Partners IX, LP
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
30,015 | ||||
6 | SHARED VOTING POWER
0 | |||||
7 | SOLE DISPOSITIVE POWER
30,015 | |||||
8 | SHARED DISPOSITIVE POWER
0 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
PN |
Page 2 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 3 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
InterWest Management Partners IX, LLC (the General Partner of InterWest Partners IX, LP)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
California | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
30,015 | ||||
6 | SHARED VOTING POWER
0 | |||||
7 | SOLE DISPOSITIVE POWER
30,015 | |||||
8 | SHARED DISPOSITIVE POWER
0 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
OO |
Page 3 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 4 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Harvey B. Cash (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Harvey B. Cash that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 4 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 5 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Bruce A. Cleveland (a Venture Member of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Bruce A. Cleveland that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 5 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 6 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Christopher B. Ehrlich (a Venture Member of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Christopher B. Ehrlich that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 6 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 7 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Philip T. Gianos (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Philip T. Gianos that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 7 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 8 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
W. Stephen Holmes III (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by W. Stephen Holmes III that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 8 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 9 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Nina S. Kjellson (a Venture Member of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Nina S. Kjellson that she is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 9 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 10 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Gilbert H. Kliman (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Gilbert H. Kliman that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 10 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 11 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Khaled A. Nasr (a Venture Member of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Khaled A. Nasr that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 11 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 12 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Arnold L. Oronsky (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Arnold L. Oronsky that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 12 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 13 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Douglas A. Pepper (a Venture Member of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Douglas A. Pepper that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 13 of 19 Pages
Cusip No. 00211Y100 | 13G | Page 14 of 19 Pages |
1 |
NAME OF REPORTING PERSONS
Thomas L. Rosch (a Managing Director of InterWest Management Partners IX, LLC)
I.R.S. IDENTIFICATION NO(S). OF ABOVE PERSON(S) (ENTITIES ONLY) | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ¨ (b) ¨
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
United States | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH |
5 | SOLE VOTING POWER
0 | ||||
6 | SHARED VOTING POWER
30,015 | |||||
7 | SOLE DISPOSITIVE POWER
0 | |||||
8 | SHARED DISPOSITIVE POWER
30,015 | |||||
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
30,015 | |||||
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES:
¨ | |||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0.2% | |||||
12 |
TYPE OF REPORTING PERSON
IN |
Neither the filing of this statement on Schedule 13G nor any of its contents shall be deemed to constitute an admission by Thomas L. Rosch that he is the beneficial owner of any of the Common Stock referred to herein for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, or for any other purpose, and such beneficial ownership is expressly disclaimed, except to the extent of his pecuniary interest.
Page 14 of 19 Pages
ITEM 1.
(a) | NAME OF ISSUER: ARCA biopharma, Inc. |
(b) | ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICE: |
8001 Arista Place, Suite 200, Broomfield, CO 80021
ITEM 2.
(a) | NAME OF PERSON(S) FILING: |
InterWest Partners IX, LP (IWP IX)
InterWest Management Partners IX, LLC (IMP IX)
Harvey B. Cash (Cash)
Bruce A. Cleveland (Cleveland)
Christopher B. Ehrlich (Ehrlich)
Philip T. Gianos (Gianos)
W. Stephen Holmes III (Holmes)
Nina S. Kjellson (Kjellson)
Gilbert H. Kliman (Kliman)
Khaled A. Nasr (Nasr)
Arnold L. Oronsky (Oronsky)
Douglas A. Pepper (Pepper)
Thomas L. Rosch (Rosch)
(b) | ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: |
2710 Sand Hill Road, Suite 200, Menlo Park, CA 94025
(c) | CITIZENSHIP/PLACE OF ORGANIZATION: |
IWP IX: | California | |
IMP IX: | California | |
Cash: | United States | |
Cleveland: | United States | |
Ehrlich: | United States | |
Gianos: | United States | |
Holmes: | United States | |
Kjellson: | United States | |
Kliman: | United States | |
Nasr: | United States | |
Oronsky: | United States | |
Pepper: | United States | |
Rosch: | United States |
Page 15 of 19 Pages
(d) | TITLE OF CLASS OF SECURITIES: Common Stock |
(e) | CUSIP NUMBER: 00211Y100 |
ITEM 3. NOT APPLICABLE.
ITEM 4. OWNERSHIP.
IWP IX | IMP IX (1) | Cash (2) | Cleveland (2) | Ehrlich (2) | ||||||||||||||||
Beneficial Ownership |
30,015 | 30,015 | 30,015 | 30,015 | 30,015 | |||||||||||||||
Percentage of Class |
0.2 | % | 0.2 | % | 0.2 | % | 0.2 | % | 0.2 | % | ||||||||||
Sole Voting Power |
30,015 | 30,015 | 0 | 0 | 0 | |||||||||||||||
Shared Voting Power |
0 | 0 | 30,015 | 30,015 | 30,015 | |||||||||||||||
Sole Dispositive Power |
30,015 | 30,015 | 0 | 0 | 0 | |||||||||||||||
Shared Dispositive Power |
0 | 0 | 30,015 | 30,015 | 30,015 |
Gianos (2) | Holmes (2) | Kjellson (2) | Kliman (2) | Nasr (2) | ||||||||||||||||
Beneficial Ownership |
30,015 | 30,015 | 30,015 | 30,015 | 30,015 | |||||||||||||||
Percentage of Class |
0.2 | % | 0.2 | % | 0.2 | % | 0.2 | % | 0.2 | % | ||||||||||
Sole Voting Power |
0 | 0 | 0 | 0 | 0 | |||||||||||||||
Shared Voting Power |
30,015 | 30,015 | 30,015 | 30,015 | 30,015 | |||||||||||||||
Sole Dispositive Power |
0 | 0 | 0 | 0 | 0 | |||||||||||||||
Shared Dispositive Power |
30,015 | 30,015 | 30,015 | 30,015 | 30,015 |
Oronsky (2) | Pepper (2) | Rosch (2) | ||||||||||
Beneficial Ownership |
30,015 | 30,015 | 30,015 | |||||||||
Percentage of Class |
0.2 | % | 0.2 | % | 0.2 | % | ||||||
Sole Voting Power |
0 | 0 | 0 | |||||||||
Shared Voting Power |
30,015 | 30,015 | 30,015 | |||||||||
Sole Dispositive Power |
0 | 0 | 0 | |||||||||
Shared Dispositive Power |
30,015 | 30,015 | 30,015 |
(1) | IMP IX is the general partner of IWP IX. |
(2) | Cash, Gianos, Holmes, Kliman, Oronsky and Rosch are Managing Directors of IMP IX. Cleveland, Ehrlich, Kjellson, Nasr, and Pepper are Venture Members of IMP IX. |
Page 16 of 19 Pages
ITEM 5. OWNERSHIP OF FIVE 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 five percent of the class of securities, check the following x
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Under certain circumstances set forth in the limited liability company operating agreement of IMP IX, the members of such limited liability company have the right to receive dividends from, or the proceeds from the sale of, the common stock of Issuer beneficially owned by such limited liability company.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.
Not applicable.
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
No reporting person is a member of a group as defined in section 240.13d-1(b)(1)(iii)(H) of the Act.
ITEM 9. NOTICE OF DISSOLUTION OF THE GROUP.
Not applicable.
ITEM 10. CERTIFICATION.
Not applicable.
EXHIBITS
Joint Filing Statement attached as Exhibit A.
Page 17 of 19 Pages
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.
Date: February 14, 2012
INTERWEST PARTNERS IX, LP | ||||||||
By: | InterWest Management Partners IX, LLC | |||||||
its General Partner | ||||||||
By: | /s/ W. Stephen Holmes | |||||||
By: | /s/ Harvey B. Cash |
Managing Director | ||||||
Name: | Harvey B. Cash | |||||||
INTERWEST MANAGEMENT PARTNERS IX, LLC | ||||||||
By: | /s/ Bruce A. Cleveland |
|||||||
Name: | Bruce A. Cleveland |
By: |
/s/ W. Stephen Holmes | |||||
Managing Director | ||||||||
By: | /s/ Christopher B. Ehrlich |
|||||||
Name: | Christopher B. Ehrlich | |||||||
By: | /s/ Philip T. Gianos |
By: | /s/ Douglas A. Pepper | |||||
Name: | Philip T. Gianos | Name: | Douglas A. Pepper | |||||
By: | /s/ W. Stephen Holmes |
By: | /s/ Thomas L. Rosch | |||||
Name: | W. Stephen Holmes | Name: | Thomas L. Rosch | |||||
By: | /s/ Nina S. Kjellson |
|||||||
Name: | Nina S. Kjellson | |||||||
By: | /s/ Gilbert H. Kliman |
|||||||
Name: | Gilbert H. Kliman | |||||||
By: | /s/ Khaled A. Nasr |
|||||||
Name: | Khaled A. Nasr | |||||||
By: | /s/ Arnold L. Oronsky |
|||||||
Name: | Arnold L. Oronsky |
Page 18 of 19 Pages
EXHIBIT A
Joint Filing Statement
We, the undersigned, hereby express our agreement that the attached Schedule 13G is filed on behalf of each of us.
Date: February 14, 2012
INTERWEST PARTNERS IX, LP | ||||||||
By: | InterWest Management Partners IX, LLC | |||||||
its General Partner | ||||||||
By: | /s/ W. Stephen Holmes | |||||||
By: | /s/ Harvey B. Cash |
Managing Director | ||||||
Name: | Harvey B. Cash | |||||||
INTERWEST MANAGEMENT PARTNERS IX, LLC | ||||||||
By: | /s/ Bruce A. Cleveland |
|||||||
Name: | Bruce A. Cleveland |
By: |
/s/ W. Stephen Holmes | |||||
Managing Director | ||||||||
By: | /s/ Christopher B. Ehrlich |
|||||||
Name: | Christopher B. Ehrlich | |||||||
By: | /s/ Philip T. Gianos |
By: | /s/ Douglas A. Pepper | |||||
Name: | Philip T. Gianos | Name: | Douglas A. Pepper | |||||
By: | /s/ W. Stephen Holmes |
By: | /s/ Thomas L. Rosch | |||||
Name: | W. Stephen Holmes | Name: | Thomas L. Rosch | |||||
By: | /s/ Nina S. Kjellson |
|||||||
Name: | Nina S. Kjellson | |||||||
By: | /s/ Gilbert H. Kliman |
|||||||
Name: | Gilbert H. Kliman | |||||||
By: | /s/ Khaled A. Nasr |
|||||||
Name: | Khaled A. Nasr | |||||||
By: | /s/ Arnold L. Oronsky |
|||||||
Name: | Arnold L. Oronsky |
Page 19 of 19 Pages