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 |
Stock Option (right to buy)
|
12/01/2004 |
11/30/2009 |
Common Stock
|
10,000
|
$
6
|
D
|
Â
|
Stock Option (right to buy)
|
12/01/2005 |
11/30/2010 |
Common Stock
|
15,000
|
$
8
|
D
|
Â
|
Stock Option (right to buy)
|
12/19/2006 |
12/18/2016 |
Common Stock
|
20,000
|
$
5.71
|
D
|
Â
|
Stock Option (right to buy)
|
10/09/2007 |
10/08/2017 |
Common Stock
|
6,681
|
$
5.11
|
D
|
Â
|
Stock Option (right to buy)
|
11/13/2007 |
11/12/2017 |
Common Stock
|
23,319
|
$
7.36
|
D
|
Â
|
Series A Conv Preferred Stock
|
Â
(2)
|
Â
(2)
|
Common Stock
|
132,042
|
$
(2)
|
I
|
Held by LLC
(1)
|
Series A-1 Conv Preferred Stock
|
Â
(3)
|
Â
(3)
|
Common Stock
|
43,235
|
$
(3)
|
I
|
Held by LLC
(1)
|
Series B Conv Preferred Stock
|
Â
(4)
|
Â
(4)
|
Common Stock
|
54,585
|
$
(4)
|
I
|
Held by LLC
(1)
|
Warrant
|
07/19/2006 |
07/19/2011 |
Series A Conv Preferred Stock
|
18,750
|
$
5.71
|
I
|
Held by LLC
(1)
|
Warrant
|
09/12/2008 |
09/12/2013 |
Common Stock
|
83,333
|
$
6
|
I
|
Held by LLC
(1)
|
* |
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) |
Shares are held by GDN Holdings, LLC, of which Dr. Nelson is the sole owner. |
(2) |
Each share of Series A convertible preferred stock is convertible at any time, at the holder's election, into 1.01 shares of common stock and has no expiration date. |
(3) |
Each share of Series A-1 convertible preferred stock is convertible at any time, at the holder's election, into 1.03 shares of common stock and has no expiration date. |
(4) |
Each share of Series B convertible preferred stock is convertible at any time, at the holder's election, into 1.01 shares of common stock and has no expiration date. |