FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 09/29/2008 |
3. Issuer Name and Ticker or Trading Symbol
ACUSPHERE INC [ ACUS ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 1,668 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: 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) | 11/13/2001(1) | 11/13/2011 | Common Stock | 25,000 | $7.2 | D | |
Stock Option (Right to Buy) | 02/07/2002(1) | 02/07/2012 | Common Stock | 8,334 | $7.2 | D | |
Stock Option (Right to Buy) | 07/19/2002(1) | 07/19/2012 | Common Stock | 17,500 | $0.84 | D | |
Stock Option (Right to Buy) | 02/07/2003(1) | 02/07/2013 | Common Stock | 8,334 | $0.84 | D | |
Stock Option (Right to Buy) | 09/02/2003(1) | 09/02/2013 | Common Stock | 15,271 | $13.02 | D | |
Stock Option (Right to Buy) | 02/10/2004(1) | 02/10/2014 | Common Stock | 20,000 | $9.6 | D | |
Stock Option (Right to Buy) | 02/01/2005(1) | 02/01/2015 | Common Stock | 20,000 | $6.13 | D | |
Stock Option (Right to Buy) | 02/01/2006(1) | 02/01/2016 | Common Stock | 40,000 | $5.84 | D | |
Stock Option (Right to Buy) | 02/07/2007(1) | 02/07/2017 | Common Stock | 25,000 | $2.6 | D | |
Stock Option (Right to Buy) | 02/12/2008(1) | 02/12/2018 | Common Stock | 40,000 | $0.68 | D | |
Stock Option (Right to Buy) | 07/25/2008(2) | 07/25/2018 | Common Stock | 161,870 | $0.56 | D |
Explanation of Responses: |
1. These options vest and become exercisable in equal monthly intallments over a four-year period from the date of grant. The date listed is the date on which the first such installments becomes exercisable. |
2. These shares vest and become exercisable upon completion of the first financing or other fundraising in the form of debt, equity or upfront licensing fees in excess of $10,000,000 obtained by the Company after the Prescription Drug User Fee Act date for Imagify (February 28, 2009) or an acquisition of the Company. |
By: /s/ Sherri C. Oberg, attorney-in-fact | 10/02/2008 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |