FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
EYETECH PHARMACEUTICALS INC [ EYET ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/04/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/04/2004 | C | 535,438 | A | (1) | 535,438 | I | See footnotes(2)(3) | ||
Common Stock | 02/04/2004 | C | 505,692 | A | (1) | 1,041,130 | I | See footnotes(2)(3) | ||
Common Stock | 02/04/2004 | C | 107,088 | A | (1) | 1,148,218 | I | See footnotes(2)(3) | ||
Common Stock | 02/04/2004 | C | 101,138 | A | (1) | 1,249,356 | I | See footnotes(2)(3) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series C-1 Convertible Preferred Stock | (1) | 02/04/2004 | C | 535,438 | (4) | (4) | Common Stock | 535,438 | (1) | 713,918 | I | See footnotes(2)(3) | |||
Series C-2 Convertible Preferred Stock | (1) | 02/04/2004 | C | 505,692 | (4) | (4) | Common Stock | 505,692 | (1) | 208,226 | I | See footnotes(2)(3) | |||
Warrant for Series C-1 Convertible Preferred Stock | $6.8 | 02/04/2004 | X | 107,088 | (5) | 07/24/2008 | Series C-1 Convertible Preferred Stock | 107,088 | (1) | 208,226 | I | See footnotes(2)(3) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/04/2004 | X | 107,088 | (4) | (4) | Common Stock | 107,088 | (1) | 208,226 | I | See footnotes(2)(3) | |||
Series C-1 Convertible Preferred Stock | (1) | 02/04/2004 | C | 107,088 | (4) | (4) | Common Stock | 107,088 | (1) | 101,138 | I | See footnotes(2)(3) | |||
Warrant for Series C-2 Convertible Preferred Stock | $7.2 | 02/04/2004 | X | 101,138 | (5) | 08/21/2009 | Series C-2 Convertible Preferred Stock | 101,138 | (1) | 101,138 | I | See footnotes(2)(3) | |||
Series C-2 Convertible Preferred Stock | (1) | 02/04/2004 | X | 101,138 | (4) | (4) | Common Stock | 101,138 | (1) | 101,138 | I | See footnotes(2)(3) | |||
Series C-2 Convertible Preferred Stock | (1) | 02/04/2004 | C | 101,138 | (4) | (4) | Common Stock | 101,138 | (1) | 0 | I | See footnotes(2)(3) |
Explanation of Responses: |
1. The Series C-1 Preferred Stock and Series C-2 Prederred Stock converted into Common Stock of the Issuer on a one for one basis. |
2. Edward Penhoet, a Director of the Issuer, is also a Director of Alta BioPharma Management II, LLC (which is the general parter of Alta BioPharma Partners II, L.P.) and a limited partner of Alta BioPharma Partners, L.P. He disclaims beneficial ownership of all such shares held by Alta BioPharma Partners II, L.P. ("ABPII"), except to the extent of his proportionate pecuniary interests therein. Alta Partners II, Inc. ("APII") directly or indirectly provides investment advisory services to various venture capital funds, including ABPII. Certain principals of APII are managing directors and directors of Alta BioPharma Management II, LLC ("ABMPII"). Such principals may be deemed to share voting and investment powers over the aforementioned shares held by ABPII. The principals disclaim beneficial ownership of all such shares held by ABPII, except to the extent of their proportionate pecuniary interests therein. |
3. Upon the close of the Issuer's public offering, all preferred stock converted into Common Stock on a 1-for-1 basis and the warrants for the purchase of Series C-1 Preferred and Series C-2 Preferred held by ABPII were exercised for preferred stock that automatically converted into Common Stock. |
4. These shares were immediately exercisable. They had no expiration date. |
5. These warrants were immediately exercisable. |
/s/ Edward E. Penhoet | 02/04/2004 | |
** 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 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). | ||
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. |