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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 |
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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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non-Qualified Stock Option (right to buy) | $ 5 | 10/16/2008 | D | 22,500 | (4) | 01/08/2014 | Common Stock | 22,500 | $ 4 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 0.75 | 10/16/2008 | D | 11,250 | (4) | 06/01/2015 | Common Stock | 11,250 | $ 8.25 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 4.4 | 10/16/2008 | D | 11,250 | (4) | 06/06/2016 | Common Stock | 11,250 | $ 4.6 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 2.4 | 10/16/2008 | D | 11,250 | (4) | 05/24/2017 | Common Stock | 11,250 | $ 6.6 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 4.81 | 10/16/2008 | D | 13,334 | (4) | 05/20/2018 | Common Stock | 13,334 | $ 4.19 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LESCHLY MARK C/O RHO CAPITAL PARTNERS, INC. 152 /WEST 57TH STREET, 23RD FLOOR NEW YORK, NY 10019 |
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/s/ Stephen N. Rosenfield, Attorney-in-Fact | 10/20/2008 | |
**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) | Represents Restricted Stock Units that were canceled pursuant to the terms of the Agreement and Plan of Merger, dated June 4, 2008, among Tercica, Inc., Beaufour Ipsen Pharma and Tribeca Acquisition Corporation, a wholly owned subsidiary of Beaufour Ipsen Pharma, in exchange for a cash payment equal to $9.00 per restricted stock unit canceled. |
(2) | Pursuant to the terms of the Agreement and Plan of Merger, each issued and outstanding share of common stock was automatically canceled and converted into the right to receive a per share amount equal to $9.00 in cash, without interest. |
(3) | This stockholder is affiliated with the management company, Rho Capital Partners, Inc. Mark Leschly is a controlling shareholder of Rho Capital Partners, Inc., a managing member of the general partner of Rho Ventures IV, L.P. and Rho Ventures IV (QP), L.P., a managing director of the general partner of Rho Ventures IV GmbH & Co. Beteiligungs KG and a managing partner of the investment advisor to Rho Management Trust I. |
(4) | This stock option was canceled pursuant to the terms of the Agreement and Plan of Merger, in exchange for a cash payment equal to the excess of the $9.00 per share merger consideration over the per share exercise price of the option, multiplied by the number of shares of common stock subject to the option. |