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 B Convertible Preferred Stock
|
Â
(1)
|
Â
(1)
|
Common Stock
|
26,173
|
$
(1)
|
D
|
Â
|
Series C Convertible Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
29,019
|
$
(2)
|
D
|
Â
|
Series D Convertible Preferred Stock
|
Â
(3)
|
Â
(3)
|
Common Stock
|
57,143
|
$
(3)
|
I
|
By Wife
|
Series E Convertible Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
4,657
|
$
(4)
|
I
|
By Wife
|
Stock Option (right to buy)
|
Â
(5)
|
08/02/2012 |
Common Stock
|
75,000
|
$
2.19
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
05/08/2013 |
Common Stock
|
50,000
|
$
2.19
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
08/30/2014 |
Common Stock
|
158,048
|
$
1.25
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
08/30/2014 |
Common Stock
|
141,952
|
$
1.25
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
02/02/2015 |
Common Stock
|
25,837
|
$
1.25
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
02/02/2015 |
Common Stock
|
224,163
|
$
1.25
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
08/03/2015 |
Common Stock
|
43,247
|
$
1.71
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
08/03/2015 |
Common Stock
|
456,753
|
$
1.71
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
01/23/2017 |
Common Stock
|
52,985
|
$
2.47
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
01/23/2017 |
Common Stock
|
97,015
|
$
2.47
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
10/04/2017 |
Common Stock
|
26,689
|
$
2.59
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
10/04/2017 |
Common Stock
|
248,311
|
$
2.59
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(6)
|
11/04/2019 |
Common Stock
|
775,000
|
$
2.12
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(7)
|
05/02/2021 |
Common Stock
|
50,000
|
$
5.54
|
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) |
Each share of Series B Convertible Preferred Stock will automatically convert into approximately 1.5435 shares of Common Stock upon the closing of the issuer's initial public offering. The shares have no expiration date. |
(2) |
Each share of Series C Convertible Preferred Stock will automatically convert into one share of Common Stock upon the closing of the issuer's initial public offering. The shares have no expiration date. |
(3) |
Each share of Series D Convertible Preferred Stock will automatically convert into one share of Common Stock upon the closing of the issuer's initial public offering. The shares have no expiration date. |
(4) |
Each share of Series E Convertible Preferred Stock will automatically convert into one share of Common Stock upon the closing of the issuer's initial public offering. The shares have no expiration date. |
(5) |
This option is fully vested. |
(6) |
This option vested as to 1/12th of the shares on each of November 5, 2009 and February 1, 2010 and vests in equal quarterly installments thereafter until August 1, 2012. |
(7) |
This option vested as to 1/12th of the shares on August 1, 2011 and vests in equal quarterly installments thereafter until May 1, 2014. |