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 |
Non-Qualified Stock Option (right to buy)
|
Â
(2)
|
05/25/2015 |
Common Stock
|
10,000
|
$
12.92
|
D
|
Â
|
Non-Qualified Stock Option (right to buy)
|
Â
(3)
|
05/25/2015 |
Common Stock
|
10,000
|
$
12.92
|
D
|
Â
|
Non-Qualified Stock Option (right to buy)
|
Â
(4)
|
05/25/2015 |
Common Stock
|
30,000
|
$
12.92
|
D
|
Â
|
Non-Qualified Stock Option (right to buy)
|
Â
(5)
|
01/29/2013 |
Common Stock
|
6,250
|
$
2.8
|
D
|
Â
|
Convertible Series C-2 Preferred Stock
|
Â
(6)
|
Â
(6)
|
Common Stock
|
71,085
|
$
(6)
|
D
|
Â
|
* |
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) |
1/3rd of the shares of restricted common stock will vest yearly from May 26, 2005, such that 100% of the shares will be fully vested on May 26, 2008. |
(2) |
100% of the shares subject to the option are fully vested and exercisable. |
(3) |
100% of the shares subject to the option will vest on the first anniversary date of May 26, 2005. |
(4) |
1/3rd of the shares subject to the option will vest yearly from July 1, 2005, such that 100% of the shares subject to the option will be fully vested on July 1, 2008. |
(5) |
100% of the shares subject to the option are fully vested and exercisable. |
(6) |
The shares of Convertible Series C-2 Preferred Stock shall automatically convert into shares of common stock on a 1-to-1.0059 basis upon the closing of the Issuer's initial public offering. |