|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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 |
|
| |||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Convertible Preferred Stock | (1) | 06/05/2007 | C | 83,278 | 04/15/2002 | (1) | Common Stock | 83,278 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series A Convertible Preferred Stock | (1) | 06/05/2007 | C | 5,611 | 04/15/2002 | (1) | Common Stock | 5,611 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series B Convertible Preferred Stock | (1) | 06/05/2007 | C | 734,803 | 05/04/2004 | (1) | Common Stock | 734,803 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series B Convertible Preferred Stock | (1) | 06/05/2007 | C | 49,509 | 05/04/2004 | (1) | Common Stock | 49,509 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series B Convertible Preferred Stock | (1) | 06/05/2007 | C | 11,182 | 04/18/2006 | (1) | Common Stock | 11,182 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series B Convertible Preferred Stock | (1) | 06/05/2007 | C | 753 | 04/18/2006 | (1) | Common Stock | 753 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series C Convertible Preferred Stock | (1) | 06/05/2007 | C | 247,850 | 08/16/2005 | (1) | Common Stock | 247,850 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series C Convertible Preferred Stock | (1) | 06/05/2007 | C | 16,669 | 08/16/2005 | (1) | Common Stock | 16,699 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series C Convertible Preferred Stock | (1) | 06/05/2007 | C | 247,850 | 04/17/2006 | (1) | Common Stock | 247,850 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series C Convertible Preferred Stock | (1) | 06/05/2007 | C | 16,669 | 04/17/2006 | (1) | Common Stock | 16,699 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series D Convertible Preferred Stock | (1) | 06/05/2007 | C | 96,233 | 09/13/2006 | (1) | Common Stock | 96,233 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series D Convertible Preferred Stock | (1) | 06/05/2007 | C | 6,484 | 09/13/2006 | (1) | Common Stock | 6,484 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series D Convertible Preferred Stock | (1) | 06/05/2007 | C | 96,223 | 03/09/2007 | (1) | Common Stock | 96,233 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series D Convertible Preferred Stock | (1) | 06/05/2007 | C | 6,484 | 03/09/2007 | (1) | Common Stock | 6,484 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) | |||
Series A Convertible Preferred Stock | (1) | 06/05/2007 | C | 333,111 | 07/15/2002 | (1) | Common Stock | 333,111 | $ 0 | 0 | I | By CHL Medical Partners II, L.P. (2) | |||
Series A Convertible Preferred Stock | (1) | 06/05/2007 | C | 22,444 | 07/15/2002 | (1) | Common Stock | 22,444 | $ 0 | 0 | I | By CHL Medical Partner II Side Fund, L.P. (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Weinhoff Gregory M C/O CHL MEDICAL PARTNERS 1055 WASHINGTON BLVD. STAMFORD, CT 06901 |
X |
/s/ Gregory M. Weinhoff | 06/06/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | Each of the Series A Convertible Preferred Stock, the Series B Convertible Preferred Stock, the Series C Convertible Preferred Stock and the Series D Convertible Preferred Stock automatically converted into Amicus Therapeutics, Inc. common stock on a one-for-one basis upon the closing of Amicus Therapeutics, Inc.'s initial public offering on June 5, 2007 |
(2) | The reporting person is a partner of Collinson, Howe & Lennox II, LLC, which is the general partner of CHL Medical Partners II, L.P. Voting and investment power over these shares is exercised by Collinson, Howe & Lennox II, LLC in its role as general partner and investment advisor of CHL Medical Partners II, L.P. The reporting person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of section 16 or for any other purpose. |
(3) | The reporting person is a partner of Collinson, Howe & Lennox II, LLC, which is the general partner of CHL Medical Partners II Side Fund, L.P. Voting and investment power over these shares is exercised by Collinson, Howe & Lennox II, LLC in its role as general partner and investment advisor of CHL Medical Partners II Side Fund, L.P. The reporting person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of section 16 or for any other purpose. |
(4) | Consists of 1,975,456 shares held by CHL Medical Partner II, L.P. and 133,099 shares held by CHL Medical Partners II Side Fund, L.P. The reporting person is a partner of Collinson, Howe & Lennox II, LLC, which is the general partner of CHL Medical Partners II, L.P. and CHL Medical Partners II Side Fund, L.P. Voting and investment power over these shares is exercised by Collinson, Howe & Lennox II, LLC in its role as general partner and investment advisor of CHL Medical Partners II, L.P. and CHL Medical Partners II Side Fund, L.P. The reporting person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the shares for purposes of section 16 or for any other purpose. |