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-1 preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
34,850
|
$
(1)
|
I
|
See Footnote.
(3)
|
Series A-1 preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
50,150
|
$
(1)
|
I
|
See Footnote.
(4)
|
Series C preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
870,352
|
$
(1)
|
I
|
See Footnote.
(3)
|
Series C preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
1,252,382
|
$
(1)
|
I
|
See Footnote.
(4)
|
Series C preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
111,720
|
$
(1)
|
I
|
See Footnote.
(5)
|
Series D preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
571,091
|
$
(1)
|
I
|
See Footnote.
(3)
|
Series D preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
821,815
|
$
(1)
|
I
|
See Footnote.
(4)
|
Series D preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
58,038
|
$
(1)
|
I
|
See Footnote.
(5)
|
Series E preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
71,596
|
$
(1)
|
I
|
See Footnote.
(3)
|
Series E preferred stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
103,030
|
$
(1)
|
I
|
See Footnote.
(4)
|
* |
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 shares will automatically convert into common stock on a one-for-one basis upon the closing of the Issuer's initial public offering of common stock. |
(2) |
The preferred stock has no expiration date. |
(3) |
Securities held of record by Venrock Associates, a limited partnership of which Bryan E. Roberts is a general partner. Mr. Roberts disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
(4) |
Securities held of record by Venrock Associates II, L.P., a limited partnership of which Bryan E. Roberts is a general partner. Mr. Roberts disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
(5) |
Securities held of record by Venrock Entrepreneurs Fund, L.P., a limited partnership of which Venrock Management, LLC is the general partner. Mr. Roberts is a member of Venrock Management, LLC. Mr. Roberts disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |