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
CRITICAL THERAPEUTICS INC [ CRTX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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)
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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 | 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) | |||||||||||||||
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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 | ||||||||
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. | ||
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. |