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 A Preferred Stock
|
(1)
|
(2)
|
Common Stock
|
10,000
|
$
(3)
|
D
|
|
Stock Option (right to buy)
|
12/15/2004(4)
|
12/15/2009 |
Common Stock
|
75,000
|
$
0.85
|
D
|
|
Stock Option (right to buy)
|
12/15/1999(5)
|
12/15/2009 |
Common Stock
|
15,000
|
$
0.85
|
D
|
|
Stock Option (right to buy)
|
03/20/2001(6)
|
03/20/2010 |
Common Stock
|
15,000
|
$
0.85
|
D
|
|
Stock Option (right to buy)
|
12/31/2000(7)
|
12/31/2010 |
Common Stock
|
20,000
|
$
2.5
|
D
|
|
Stock Option (right to buy)
|
(8)
|
07/10/2013 |
Common Stock
|
19,570
|
$
3
|
D
|
|
Stock Option (right to buy)
|
(9)
|
08/07/2013 |
Common Stock
|
5,000
|
$
3
|
D
|
|
Stock Option (right to buy)
|
(10)
|
10/01/2015 |
Common Stock
|
5,000
|
$
10.16
|
D
|
|
* |
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) |
These securities are exercisable immediately. |
(2) |
These securities do not have an expiration date. |
(3) |
Upon the closing of the initial public offering, each outstanding share of preferred stock will be automatically converted into one share of common stock. |
(4) |
The option became fully exercisable on December 15, 2004. |
(5) |
The option became fully exercisable on December 15, 1999. |
(6) |
The option became fully exercisable on March 20, 2001. |
(7) |
The option became fully exercisable on December 31, 2000. |
(8) |
The option became exercisable as to 20% of the shares on July 10, 2004, and becomes exercisable as to 1/5th of the remaining shares each full year thereafter or becomes fully exercisable upon the closing of the initial public offering, if earlier. |
(9) |
The option became exercisable as to 20% of the shares on August 7, 2004, and becomes exercisable as to 1/5th of the remaining shares each full year thereafter. |
(10) |
The option became exercisable as to 20% of the shares on October 1, 2006, and becomes exercisable as to 1/60th of the remaining shares each full month thereafter. |