-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I6hGkPvQxYiCIiEyNvIEjY3P/Sxa/WCtFHb+KER3QC6+nhvQ03Ft5cUImUMOZ3i8 QUXwBBwFp4UpkXrI0D4O3g== 0000950135-05-000764.txt : 20050215 0000950135-05-000764.hdr.sgml : 20050215 20050214183709 ACCESSION NUMBER: 0000950135-05-000764 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050215 DATE AS OF CHANGE: 20050214 GROUP MEMBERS: DEBORAH SPEIGHT GROUP MEMBERS: DOUGLAS MELLO GROUP MEMBERS: GARY CARR GROUP MEMBERS: NICOLA WALKER GROUP MEMBERS: PETER EVERSON GROUP MEMBERS: SCHRODER VENTURE MANAGERS INC. GROUP MEMBERS: SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II ...... GROUP MEMBERS: SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.1 GROUP MEMBERS: SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.2 GROUP MEMBERS: SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.3 GROUP MEMBERS: SITCO NOMINEES LTD. VC 01903 AS NOMINEE OF SHRODER ......... GROUP MEMBERS: SV (NOMINEES) LIMITED AS NOMINEE OF SCHRODER VENTURES ...... SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PHASE FORWARD INC CENTRAL INDEX KEY: 0001050180 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 043386549 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-80374 FILM NUMBER: 05613624 BUSINESS ADDRESS: STREET 1: 880 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SCHRODER VENTURE MANAGERS LTD CENTRAL INDEX KEY: 0001161844 IRS NUMBER: 00000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 22 CHURCH STREET CITY: HAMILTON BERUMUDA STATE: D0 ZIP: HM11 BUSINESS PHONE: 4412987107 MAIL ADDRESS: STREET 1: 27 CHURCH STREET CITY: HAMILTON BERUMUDA STATE: D0 ZIP: HM11 SC 13G 1 b53631pfsc13g.txt PHASE FORWARD INCORPORATED UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. New) PHASE FORWARD INCORPORATED -------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $0.01 PER SHARE --------------------------------------- (Title of Class of Securities) 71721R406 ------------ (CUSIP Number) December 31, 2004 ----------------------------------------------------- (Date of Event Which Requires Filing of this Statement) CHECK THE APPROPRIATE BOX TO DESIGNATE THE RULE PURSUANT TO WHICH THIS SCHEDULE IS FILED: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) CUSIP No. 71721R406 13G Page 2 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURE MANAGERS LIMITED - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION BERMUDA - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- ------------------------------------------------ NUMBER OF SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ------------------------------------------------ OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ------------------------------------------------ PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) OO - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 3 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURE MANAGERS INC. - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION NEW YORK - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF SHARES ------------------------------------------------ BENEFICIALLY 6. SHARED VOTING POWER 1,655,564 OWNED BY EACH ------------------------------------------------ REPORTING 7. SOLE DISPOSITIVE POWER --0-- PERSON WITH ------------------------------------------------ 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) CO - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 4 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.1 - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ------------------------------------------------ SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ------------------------------------------------ OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ------------------------------------------------ PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 5 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.2 - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ------------------------------------------------ SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ------------------------------------------------ OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ------------------------------------------------ PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 6 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.3 - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ------------------------------------------------ SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ------------------------------------------------ OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ------------------------------------------------ PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 7 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II STRATEGIC PARTNERS L.P. - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 8 of 29 Pages - ------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SITCO NOMINEES LTD. VC 01903 AS NOMINEE OF SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II GROUP CO-INVESTMENT SCHEME - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION BERMUDA - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) OO - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 9 of 29 Pages - ------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) SV (NOMINEES) LIMITED AS NOMINEE OF SCHRODER VENTURES INVESTMENTS LIMITED - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION GUERNSEY - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) OO - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 10 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) PETER EVERSON - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION UNITED KINGDOM - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 11 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) DEBORAH SPEIGHT - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION UNITED KINGDOM - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 12 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) NICOLA WALKER - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION UNITED KINGDOM - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY ----------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING ----------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 13 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) GARY CARR - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION CANADA - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF -------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY -------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING -------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 14 of 29 Pages - -------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) DOUGLAS MELLO - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION BERMUDA - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER --0-- NUMBER OF -------------------------------------------------------- SHARES 6. SHARED VOTING POWER 1,655,564 BENEFICIALLY -------------------------------------------------------- OWNED BY EACH 7. SOLE DISPOSITIVE POWER --0-- REPORTING -------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 1,655,564 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,655,564 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- CUSIP No. 71721R406 13G Page 15 of 29 Pages - -------------------------------------------------------------------------------- ITEM 1(a). NAME OF ISSUER: Phase Forward Incorporated (the "Issuer") ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 880 Winter Street Waltham, MA 02451 ITEM 2(a). NAME OF PERSON FILING: This statement is being filed by the following persons: (i) Schroder Ventures International Life Sciences Fund II L.P.1 ("SVILSF II LP1"), Schroder Ventures International Life Sciences Fund II L.P.2 ("SVILSF II LP2"), Schroder Ventures International Life Sciences Fund II L.P.3 ("SVILSF II LP3"), Schroder Ventures International Life Sciences Fund II Strategic Partners L.P. ("SVILSF II Strategic Partners"), SITCO Nominees Ltd. VC 01903 as Nominee of Schroder Ventures International Life Sciences Fund II Group Co-Investment Scheme ("SVILSF II Co-Investment"), and SV (Nominees) Limited as Nominee of Schroder Venture Investments Limited ("SVIL") (collectively, the "Funds"), direct owners of the shares of Common Stock of the Issuer; (ii) Schroder Venture Managers Inc., a New York corporation ("SVMI"), and General Partner of SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, and SVILSF II Strategic Partners; (iii) Schroder Venture Managers Limited, a Bermuda limited company ("SVML"), and fund manager to SVMI; (iv) Peter Everson ("Everson"), a director of SVML; (v) Deborah Speight ("Speight"), a director of SVML; (vi) Nicola Walker ("Walker"), a director of SVML; (vii) Gary Carr ("Carr"), a director of SVML; and (viii) Douglas Mello ("Mello"), an officer of SVML. SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, and SVILSF II Strategic Partners, SVILSF II Co-Investment, SVIL, SVMI, SVML, Everson, Speight, Walker, Carr, and Mello are sometimes individually referred to herein as a "Reporting Person" and collectively as the "Reporting Persons." ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: CUSIP No. 71721R406 13G Page 16 of 29 Pages - -------------------------------------------------------------------------------- Address for SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, and SVILSF II Strategic Partners, SVILSF II Co-Investment, SVIL, SVMI, SVML, Everson, Speight, Walker, Carr, and Mello: c/o SV Life Sciences Advisers Inc. 60 State Street Boston, MA 02109 ITEM 2(c). CITIZENSHIP: SVILSF II LP1 - Delaware SVILSF II LP2 - Delaware SVILSF II LP3 - Delaware SVILSF II Strategic Partners - Delaware SVILSF II Co-Investment - Bermuda SVIL - Guernsey SVMI - New York SVML - Bermuda Everson - United Kingdom Speight - United Kingdom Walker - United Kingdom Carr - Canada Mello - Bermuda ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, par value $0.01 per share ITEM 2(e). CUSIP NUMBER: 71721R406 ITEM 3. Not applicable. ITEM 4. OWNERSHIP. Provide the following information regarding the aggregate number and percentage of the class of securities of the Issuer identified in Item 1. For SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, and SVILSF II Strategic Partners, SVILSF II Co-Investment, SVIL, SVMI, SVML, Everson, Speight, Walker, Carr, and Mello: (a) Amount beneficially owned: 1,655,564 shares of Common Stock (b) Percent of class: 5.1% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: --0-- CUSIP No. 71721R406 13G Page 17 of 29 Pages - -------------------------------------------------------------------------------- (ii) Shared power to vote or to direct the vote: 1,655,564 (iii) Sole power to dispose or to direct the disposition of: --0-- (iv) Shared power to dispose or to direct the disposition of: 1,655,564 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not applicable. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. The shares beneficially owned by SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, and SVILSF II Strategic Partners, SVILSF II Co-Investment, SVIL, SVMI, SVML, Everson, Speight, Walker, Carr, and Mello are directly owned by the Funds. SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, SVILSF II Strategic Partners, SVILSF II Co-Investment, and SVIL, each individually own less than 5% of the shares. SVML serves as the fund manager to SVMI. SVILSF II LP1, SVILSF II LP2, SVILSF II LP3, SVILSF II Strategic Partners, SVILSF II Co-Investment, and SVIL are contractually obligated to act consistent with the investment recommendations and decisions of SVMI. Each of SVMI, SVML, Everson, Speight, Walker, Carr, and Mello have the power to direct the dividends from or the proceeds of the sale of the shares owned by the Funds. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not applicable. ITEM 10. CERTIFICATION. Not applicable. This statement on Schedule 13G is not filed pursuant to Rule 13d-1(b) or Rule 13d-1(c). CUSIP No. 71721R406 13G Page 18 of 29 Pages - -------------------------------------------------------------------------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 14, 2005 ------------------------------------- Date SCHRODER VENTURE MANAGERS INC. By: Its Director, /s/ Deborah Speight ------------------------------------- Signature Deborah Speight, Authorized Signatory ------------------------------------- Name/Title SCHRODER VENTURE MANAGERS LIMITED By: Its Director, /s/ Deborah Speight ------------------------------------- Signature Deborah Speight, Authorized Signatory ------------------------------------- Name/Title CUSIP No. 71721R406 13G Page 19 of 29 Pages - -------------------------------------------------------------------------------- SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.1 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker ------------------------------------------ Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.2 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker ------------------------------------------ Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.3 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker ------------------------------------------ Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title CUSIP No. 71721R406 13G Page 20 of 29 Pages - -------------------------------------------------------------------------------- SITCO NOMINEES LTD. VC 01903 AS NOMINEE OF SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II GROUP CO-INVESTMENT SCHEME By: SITCO Nominees Ltd. VC 01903 /s/ Deborah Speight /s/ Nicola Walker -------------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories -------------------------------------------- Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II STRATEGIC PARTNERS L.P. By: Schroder Venture Managers Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker -------------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories -------------------------------------------- Name/Title SV (NOMINEES) LIMITED AS NOMINEE OF SCHRODER VENTURES INVESTMENTS LIMITED By: SV (Nominees) Limited /s/ John Marren -------------------------------------------- Signature John Marren, Authorized Signatory -------------------------------------------- Name/Title NICOLA WALKER, in her capacity as director of Schroder Venture Managers Limited /s/ Nicola Walker -------------------------------------------- Signature Nicola Walker, Director -------------------------------------------- Name/Title CUSIP No. 71721R406 13G Page 21 of 29 Pages - -------------------------------------------------------------------------------- GARY CARR, in his capacity as director of Schroder Venture Managers Limited /s/ Gary Carr* -------------------------------------------- Signature Gary Carr, Director -------------------------------------------- Name/Title PETER EVERSON, in his capacity as director of Schroder Venture Managers Limited /s/ Peter Everson* -------------------------------------------- Signature Peter Everson, Director -------------------------------------------- Name/Title DEBORAH SPEIGHT, in her capacity as director of Schroder Venture Managers Limited /s/ Deborah Speight -------------------------------------------- Signature Deborah Speight, Director -------------------------------------------- Name/Title DOUGLAS MELLO, in his capacity as an officer of Schroder Venture Managers Limited /s/ Douglas Mello* -------------------------------------------- Signature Douglas Mello, Secretary -------------------------------------------- Name/Title *Signed pursuant to attached Power of Attorney. CUSIP No. 71721R406 13G Page 22 of 29 Pages - -------------------------------------------------------------------------------- EXHIBIT INDEX Exhibit 1. Joint Filing Agreement as required by Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, as amended. Exhibit 2. Limited Power of Attorney CUSIP No. 71721R406 13G Page 23 of 29 Pages - -------------------------------------------------------------------------------- EXHIBIT 1 JOINT FILING AGREEMENT PURSUANT TO RULE 13d-1(k)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint filing statements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him, her or it contained herein, but shall not be responsible for the completeness and accuracy of the information concerning the other entities or persons, except to the extent that he, she or its knows or has reason to believe that such information is inaccurate. SCHRODER VENTURE MANAGERS INC. By: Its Director, /s/ Deborah Speight --------------------------------------- Signature Deborah Speight, Authorized Signatory --------------------------------------- Name/Title SCHRODER VENTURE MANAGERS LIMITED By: Its Director, /s/ Deborah Speight --------------------------------------- Signature Deborah Speight, Authorized Signatory --------------------------------------- Name/Title CUSIP No. 71721R406 13G Page 24 of 29 Pages - -------------------------------------------------------------------------------- SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.1 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker --------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.2 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker --------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II L.P.3 By: Schroder Venture Managers, Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker --------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title CUSIP No. 71721R406 13G Page 25 of 29 Pages - -------------------------------------------------------------------------------- SITCO NOMINEES LTD. VC 01903 AS NOMINEE OF SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II GROUP CO- INVESTMENT SCHEME By: SITCO Nominees Ltd. VC 01903 /s/ Deborah Speight /s/ Nicola Walker ------------------------------------------ Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SCHRODER VENTURES INTERNATIONAL LIFE SCIENCES FUND II STRATEGIC PARTNERS L.P. By: Schroder Venture Managers Inc., its General Partner /s/ Deborah Speight /s/ Nicola Walker ------------------------------------- Signature Deborah Speight, Nicola Walker, Authorized Signatories ------------------------------------------ Name/Title SV (NOMINEES) LIMITED AS NOMINEE OF SCHRODER VENTURES INVESTMENTS LIMITED By: SV (Nominees) Limited /s/ John Marren ------------------------------------------ Signature John Marren, Authorized Signatory ------------------------------------------ Name/Title CUSIP No. 71721R406 13G Page 26 of 29 Pages - -------------------------------------------------------------------------------- NICOLA WALKER, in her capacity as director of Schroder Venture Managers Limited /s/ Nicola Walker ------------------------------------------ Signature Nicola Walker, Director ------------------------------------------ Name/Title GARY CARR, in his capacity as director of Schroder Venture Managers Limited /s/ Gary Carr* ------------------------------------------ Signature Gary Carr, Director ------------------------------------------ Name/Title PETER EVERSON, in his capacity as director of Schroder Venture Managers Limited /s/ Peter Everson* ------------------------------------------ Signature Peter Everson, Director ------------------------------------------ Name/Title DEBORAH SPEIGHT, in her capacity as director of Schroder Venture Managers Limited /s/ Deborah Speight ------------------------------------------ Signature Deborah Speight, Director ------------------------------------------ Name/Title CUSIP No. 71721R406 13G Page 27 of 29 Pages - -------------------------------------------------------------------------------- DOUGLAS MELLO, in his capacity as an officer of Schroder Venture Managers Limited /s/ Douglas Mello* ------------------------------------------ Signature Douglas Mello, Secretary ------------------------------------------ Name/Title *Signed pursuant to attached Power of Attorney. CUSIP No. 71721R406 13G Page 28 of 29 Pages - -------------------------------------------------------------------------------- EXHIBIT 2 LIMITED POWER OF ATTORNEY FOR FILINGS UNDER THE SECURITIES ACT OF 1933, AS AMENDED AND THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED Know all by these presents, that the undersigned hereby constitute and appoint Gary Carr, Peter Everson, Douglas Mello, Deborah Speight and Nicola Walker, or any one of them, with full power of substitution, as the undersigned's true and lawful attorneys-in-fact and agents to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as: (a) a director of Schroder Ventures Managers Limited, (b) a director of Schroder Ventures Managers Inc., or (c) in the undersigned's individual capacity, all documents, certificates, instruments, statements, filings and agreements ("documents") to be filed with or delivered in accordance with the Securities Act of 1933, as amended (the "Securities Act"), and the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules and regulations thereunder; (2) do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable to complete and execute and timely file any such documents with the United States Securities and Exchange Commission (the "SEC") and any stock exchange or similar authority; and (3) take any other action of any type whatsoever that, in the opinion of such attorneys-in-fact, may be necessary or desirable in connection with the foregoing authority, it being understood that the documents executed by such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorneys-in-fact may approve. The undersigned hereby grants to such attorneys-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorneys-in-fact, or such attorneys-in-fact's substitute or substitutes, have lawfully done or cause to be done or shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, any of the undersigned's responsibilities to comply with the Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file documents under the Securities Act and the Exchange Act with respect to securities held by the undersigned, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. This Power of Attorney may be filed with the SEC as a confirming statement of the authority granted herein. [SIGNATURE PAGE FOLLOWS] CUSIP No. 71721R406 13G Page 29 of 29 Pages - -------------------------------------------------------------------------------- IN WITNESS WHEREOF, the undersigned have caused this Limited Power of Attorney to be executed as of this 14th day of February, 2005. /s/ Gary Carr ------------------------------ Gary Carr /s/ Peter Everson ------------------------------ Peter Everson /s/ Douglas Mello ------------------------------ Douglas Mello /s/ Deborah Speight ------------------------------ Deborah Speight /s/ Nicola Walker ------------------------------ Nicola Walker -----END PRIVACY-ENHANCED MESSAGE-----