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 |
Stock Option (Right To Buy)
|
Â
(1)
|
09/15/2014 |
Common Stock
|
31,764
|
$
4.25
|
D
|
Â
|
Stock Option (Right To Buy)
|
Â
(2)
|
12/15/2015 |
Common Stock
|
5,882
|
$
5.31
|
D
|
Â
|
Stock Option (Right To Buy)
|
Â
(3)
|
06/30/2016 |
Common Stock
|
29,411
|
$
7.86
|
D
|
Â
|
Series D Convertible Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
5,205
(5)
|
$
(4)
|
I
|
By Sposue
|
Warrant (Right to Purchase Common Stock)
|
06/30/2004 |
06/30/2009 |
Common Stock
|
2,352
|
$
5.31
|
I
|
By Sposue
|
Warrant (Right to Purchase Common Stock)
|
06/30/2004 |
06/30/2009 |
Common Stock
|
117
|
$
5.31
|
I
|
By Sposue
|
* |
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) |
1/8 of the shares represented by this option vest and become exercisable on August 14, 2004 and the remaining shares vest and become exercisable in 42 equal monthly installments beginning on September 14, 2004. |
(2) |
This option vests and becomes exercisable in 48 equal installments on each monthly anniversary of the date of grant (December 15, 2005). |
(3) |
This option vests and becomes exercisable in 48 equal installments on each monthly anniversary of the date of grant (June 30, 2006). |
(4) |
Immediately following the closing of the initial public offering of the Issuer?s Common Stock all outstanding shares of Preferred Stock will be automatically converted, for no additional consideration, into shares of the Issuer's Common Stock. |
(5) |
Reflects a 1 for 4.25 reverse stock split, effected prior to the effectiveness of the registration statement filed in connection with the Issuer?s initial public offering, pursuant to which each share of Series D Convertible Preferred Stock will become convertible into approximately 0.235 of a share of common stock. |