Edgar Filing: THERMAGE INC

Ownership Submission

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF 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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(Print or Type Responses)

1. Name and Address of Reporting Person ^*

Â COLELLA SAMUEL D

2. Date of Event Requiring Statement (Month/Day/Year)
11/09/2006

3. Issuer Name and Ticker or Trading Symbol
THERMAGE INC [THRM]

(Last)

(First)

(Middle)

3000 SAND HILL ROAD,Â BLDG 4, SUITE 210

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

__X__ Director	_____ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

MENLO PARK,Â CAÂ 94025

6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security
(Instr. 4)

2. Amount of Securities Beneficially Owned
(Instr. 4)

3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)

4. Nature of Indirect Beneficial Ownership
(Instr. 5)

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security		6. Nature of Indirect Beneficial Ownership (Instr. 5)
Director Stock Option (right to buy)	Â ⁽¹⁾	09/19/2012	Common Stock	10,000	$ 0.45	D ⁽²⁾	Â
Director Stock Option (right to buy)	Â ⁽³⁾	01/22/2014	Common Stock	10,000	$ 1.9	D ⁽²⁾	Â
Director Stock Option (right to buy)	Â ⁽⁴⁾	02/02/2015	Common Stock	10,000	$ 1.9	D ⁽²⁾	Â
Director Stock Option (right to buy)	Â ⁽⁵⁾	05/03/2016	Common Stock	10,000	$ 3	D ⁽²⁾	Â
Series A Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	922,400	$ ⁽⁷⁾	I ⁽⁸⁾	By Institutional Venture Partners VII, L.P.
Series B Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	739,623	$ ⁽⁷⁾	I ⁽⁸⁾	By Institutional Venture Partners VII, L.P.
Series C Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	1,084,535	$ ⁽⁷⁾	I ⁽⁸⁾	By Institutional Venture Partners VII, L.P.
Series A Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	19,311	$ ⁽⁷⁾	I ⁽⁹⁾	By Institutional Venture Management VII, L.P.
Series B Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	15,094	$ ⁽⁷⁾	I ⁽⁹⁾	By Institutional Venture Management VII, L.P.
Series C Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	22,133	$ ⁽⁷⁾	I ⁽⁹⁾	By Institutional Venture Management VII, L.P.
Series A Convertible Preferred Stock	Â ⁽¹⁾	Â ⁽⁶⁾	Common Stock	23,836	$ ⁽⁷⁾	I ⁽¹⁰⁾	By IVP Founders Fund I, L.P.

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
COLELLA SAMUEL D 3000 SAND HILL ROAD BLDG 4, SUITE 210 MENLO PARK,Â CAÂ 94025	Â X	Â	Â	Â
INSTITUTIONAL VENTURE PARTNERS VII 3000 SAND HILL ROAD BUILDING 2, SUITE 250 MENLO PARK,Â CAÂ 94025	Â X	Â X	Â	Â
INSTITUTIONAL VENTURE MANAGEMENT VII LP 3000 SAND HILL ROAD BUILDING 2, SUITE 250 MENLO PARK,Â CAÂ 94025	Â X	Â X	Â	Â

Signatures

/s/ Samuel D. Colella		11/04/2006
^**Signature of Reporting Person		Date

Explanation of Responses:

*	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)	Immediately.
(2)	The reported securities are owned directly by Samuel D. Colella. Institutional Venture Partners VII, L.P. and Institutional Venture Management VII, L.P. disclaim beneficial ownership of these securities.
(3)	This option vests and the shares become exercisable according to the following schedule: 1/48 on February 29, 2004 and 1/48 on the last day of each full calendar month thereafter.
(4)	This option vests and the shares become exercisable according to the following schedule: 1/48 on March 31, 2005 and 1/48 on the last day of each full calendar month thereafter.
(5)	This option vests and the shares become exercisable according to the following schedule: 1/48 on March 31, 2006 and 1/48 on the last day of each full calendar month thereafter.
(6)	Not applicable.
(7)	1-for-1.
(8)	The reported securities are owned directly by Institutional Venture Partners VII, L.P. and indirectly by Institutional Venture Management VII, L.P. as general partner of Institutional Venture Partners VII, L.P. Mr. Colella shares voting and investment control over all securities held by Institutional Venture Partners VII, L.P. and Institutional Venture Management VII, L.P. Mr. Colella and Institutional Venture Management VII, L.P. disclaim beneficial ownership of these securities except to the extent of their pecuniary interest therein.
(9)	The reported securities are owned directly by Institutional Venture Management VII, L.P. Mr. Colella shares voting and investment control over all securities held by Institutional Venture Management VII, L.P. Mr. Colella disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Institutional Venture Partners VII, L.P. disclaims beneficial ownership of these securities.
(10)	Mr. Colella shares voting and investment control over all securities held by IVP Founders Fund I, L.P. Mr. Colella disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Institutional Venture Partners VII, L.P. and Institutional Venture Management VII, L.P. disclaim beneficial ownership of these securities.
Â Remarks: InstitutionalÂ VentureÂ PartnersÂ VII,Â L.P.Â andÂ InstitutionalÂ VentureÂ ManagementÂ VII,Â L.P.Â (collectively,Â "InstitutionalÂ Ventures")Â mayÂ beÂ deemedÂ directorsÂ byÂ virtueÂ ofÂ theirÂ rightÂ toÂ nominateÂ aÂ representativeÂ toÂ serveÂ onÂ theÂ Issuer'sÂ BoardÂ ofÂ Directors.Â Â InstitutionalÂ Ventures'Â rightÂ toÂ nominateÂ aÂ representativeÂ toÂ serveÂ onÂ theÂ Issuer'sÂ BoardÂ ofÂ DirectorsÂ willÂ terminateÂ uponÂ theÂ closingÂ ofÂ theÂ Issuer'sÂ initialÂ publicÂ offering.Â Â SamuelÂ D.Â ColellaÂ currentlyÂ servesÂ asÂ InstitutionalÂ Ventures'Â representativeÂ onÂ theÂ Issuer'sÂ BoardÂ ofÂ Directors.Â Â TheÂ DateÂ ofÂ EventÂ isÂ basedÂ uponÂ theÂ dateÂ ofÂ effectivenessÂ ofÂ theÂ Issuer'sÂ RegistrationÂ StatementÂ onÂ FormÂ S-1Â filedÂ inÂ connectionÂ withÂ theÂ Issuer'sÂ initialÂ publicÂ offering,Â estimatedÂ toÂ beÂ onÂ orÂ aboutÂ NovemberÂ 9,Â 2006. ExhibitÂ List ExhibitÂ 99Â -Â JointÂ FilerÂ Information

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