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
XTENT INC [ XTNT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/06/2007 | ||||||||||||||||||||||||||
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 | 02/06/2007 | C | 586,574 | A | (1) | 586,574 | I(2) | By Latterell Venture Partners, L.P. | ||
Common Stock | 02/06/2007 | C | 2,020,425 | A | (1) | 2,020,425 | I(3) | By Latterell Venture Partners II, L.P. | ||
Common Stock | 02/06/2007 | C | 196,458 | A | (1) | 196,458 | I(4) | By Latterell Venture Partners III, L.P. | ||
Common Stock | 02/06/2007 | C | 9,822 | A | (1) | 9,822 | I(4) | By LVP III Associates, L.P. | ||
Common Stock | 02/06/2007 | C | 4,911 | A | (1) | 4,911 | I(4) | By LVP III Partners, L.P. | ||
Common Stock | 10,000 | I(5) | By Latterell Management Company, L.L.C. |
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 A Convertible Preferred Stock | (6) | 02/06/2007 | C | 225,000 | (6) | (1) | Common Stock | 225,000 | (1) | 0 | I(2) | By Latterell Venture Partners, L.P. | |||
Series B Convertible Preferred Stock | (6) | 02/06/2007 | C | 119,681 | (6) | (1) | Common Stock | 119,681 | (1) | 0 | I(2) | By Latterell Venture Partners, L.P. | |||
Series C Convertible Preferred Stock | (6) | 02/06/2007 | C | 166,051 | (6) | (1) | Common Stock | 166,051 | (1) | 0 | I(2) | By Latterell Venture Partners, L.P. | |||
Series D Convertible Preferred Stock | (6) | 02/06/2007 | C | 75,842 | (6) | (1) | Common Stock | 75,842 | (1) | 0 | I(2) | By Latterell Venture Partners, L.P. | |||
Series A Convertible Preferred Stock | (6) | 02/06/2007 | C | 775,000 | (6) | (1) | Common Stock | 775,000 | (1) | 0 | I(3) | By Latterell Venture Partners II, L.P. | |||
Series B Convertible Preferred Stock | (6) | 02/06/2007 | C | 412,234 | (6) | (1) | Common Stock | 412,234 | (1) | 0 | I(3) | By Latterell Venture Partners II, L.P. | |||
Series C Convertible Preferred Stock | (6) | 02/06/2007 | C | 571,955 | (6) | (1) | Common Stock | 571,955 | (1) | 0 | I(3) | By Latterell Venture Partners II, L.P. | |||
Series D Convertible Preferred Stock | (6) | 02/06/2007 | C | 261,236 | (6) | (1) | Common Stock | 261,236 | (1) | 0 | I(3) | By Latterell Venture Partners II, L.P. | |||
Series D Convertible Preferred Stock | (6) | 02/06/2007 | C | 196,458 | (6) | (1) | Common Stock | 196,458 | (1) | 0 | I(4) | By Latterell Venture Partners III, L.P. | |||
Series D Convertible Preferred Stock | (6) | 02/06/2007 | C | 9,822 | (6) | (1) | Common Stock | 9,822 | (1) | 0 | I(4) | By LVP III Associates, L.P. | |||
Series D Convertible Preferred Stock | (6) | 02/06/2007 | C | 4,911 | (6) | (1) | Common Stock | 4,911 | (1) | 0 | I(4) | By LVP III Partners, L.P. |
Explanation of Responses: |
1. Not applicable. |
2. Mr. Latterell is a managing member of Latterell Capital Management, L.L.C., the general partner of Latterell Venture Partners, L.P. Mr. Latterell disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
3. Mr. Latterell is a managing member of Latterell Capital Management II, L.L.C., the general partner of Latterell Venture Partners II, L.P. Mr. Latterell disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
4. Mr. Latterell is a managing member of Latterell Capital Management III, L.L.C., the general partner of Latterell Venture Partners III, L.P., LVP III Associates, L.P. and LVP III Partners, L.P. Mr. Latterell disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
5. Mr. Latterell is a managing member of Latterell Management Company, L.L.C. Mr. Latterell disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. |
6. The reported securities automatically converted into shares of Common Stock on a 1-for-1 basis immediately prior to the closing of the Issuer's initial public offering on February 6, 2007. |
/s/ Patrick F. Latterell | 02/06/2007 | |
** 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. |