SEC Form 4
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*
George Jean

(Last) (First) (Middle)
1000 WINTER STREET
SUITE 3700

(Street)
WALTHAM MA 02451

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CRITICAL THERAPEUTICS INC [ CRTX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/20/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 06/20/2005 P 1,027,702 A $5.48 2,554,802 I By Advanced Technology Ventures VII, L.P.(1)
Common Stock 06/20/2005 P 41,241 A $5.48 102,522 I By Advanced Technology Ventures VII (B), L.P.(1)
Common Stock 06/20/2005 P 19,823 A $5.48 49,279 I By Advanced Technology Ventures VII (C), L.P.(1)
Common Stock 06/20/2005 P 6,125 A $5.48 15,225 I By ATV Entrepreneurs VII, L.P.(1)
Common Stock 06/20/2005 P 171,533 A $5.48 427,315 I By Advanced Technology Ventures VI, L.P.(2)
Common Stock 06/20/2005 P 10,949 A $5.48 27,275 I By ATV Entrepreneurs VI, L.P.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 359,696 06/20/2005 06/05/2010 Common Stock 359,696 $0.00 359,696 I By Advanced Technology Ventures VII, L.P.(1)
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 14,434 06/20/2005 06/20/2015 Common Stock 14,434 $0.00 14,434 I By Advanced Technology Ventures VII (B), L.P.(1)
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 6,938 06/20/2005 06/20/2015 Common Stock 6,938 $0.00 6,938 I By Advanced Technology Ventures VII (C), L.P.(1)
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 2,144 06/20/2005 06/20/2015 Common Stock 2,144 $0.00 2,144 I By ATV Entrepreneurs VII, L.P.(1)
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 60,037 06/20/2005 06/20/2015 Common Stock 60,037 $0.00 60,037 I By Advanced Technology Ventures VI, L.P.(2)
Common Stock Warrant (right to buy) $6.58 06/20/2005 A 3,832 06/20/2005 06/20/2015 Common Stock 3,832 $0.00 3,832 I By ATV Entrepreneurs VI, L.P.(2)
Stock Option (right to buy) $5.51 06/02/2005 A 15,000 (3) 06/20/2015 Common Stock 15,000 $0.00 15,000 D
Explanation of Responses:
1. The Reporting Person is a managing director of ATV Associates VII, L.L.C. ("ATVA VII"), which serves as the sole general partner to each of Advanced Technology Ventures VII, L.P. Advanced Technology Ventures VII (B), L.P., Advanced Technology Ventures VII (C), L.P. and ATV Entrepreneurs VII, L.P. (collectively, the "ATV VII Funds"). As a managing director of ATVA VII, the Reporting Person may be deemed to have indirect beneficial ownership of the shares owned by the ATV VII Funds. The Reporting Person disclaims beneficial ownership of such shares held by the ATV VII Funds, except to the extent of her pecuniary interest arising therein, and any Common Stock held in the Reporting Person's name.
2. The Reporting Person is a member of ATV Associates VI, L.L.C. ("ATVA VI"), which serves as the sole general partner to each of Advanced Technology Ventures VI, L.P. and ATV Entrepreneurs VI, L.P. (collectively, the "ATV VI Funds"). As a member of ATV VI, the Reporting Person may be deemed to have indirect beneficial ownership of the shares owned by the ATV VI Funds. The Reporting Person disclaims beneficial ownership of such shares held by the ATV VI Funds, except to the extent of her pecuniary interest arising therein, and any Common Stock held in the Reporting Person's name.
3. This option vests in 36 equal monthly installments beginning on July 2, 2005.
/s/ Jean M. George 06/22/2005
** 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.
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