-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OnYrZldRPTPCOVd1fst53D4ZfuIo8z4FcaPgAo7Pp9wcIzu0KhYFovwLrNVCXXPO sm3BkUDZLf89paN+X88CCw== 0001313617-05-000018.txt : 20050505 0001313617-05-000018.hdr.sgml : 20050505 20050505154314 ACCESSION NUMBER: 0001313617-05-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050503 FILED AS OF DATE: 20050505 DATE AS OF CHANGE: 20050505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMPERSAND 1999 LP CENTRAL INDEX KEY: 0001244768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24241 FILM NUMBER: 05803520 BUSINESS ADDRESS: STREET 1: AMPERSAND VENTURES STREET 2: 55 WILLIAM STREET STE 240 CITY: WELLESLEY STATE: MA ZIP: 02481-4003 BUSINESS PHONE: 7812390700 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMP-99 MANAGEMENT CO LLC CENTRAL INDEX KEY: 0001244765 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24241 FILM NUMBER: 05803519 BUSINESS ADDRESS: STREET 1: AMPERSAND VENTURES STREET 2: 55 WILLIAM STREET STE 240 CITY: WELLESLEY STATE: MA ZIP: 02481-4003 BUSINESS PHONE: 7812390700 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHARPIE RICHARD A CENTRAL INDEX KEY: 0001054509 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24241 FILM NUMBER: 05803521 BUSINESS ADDRESS: BUSINESS PHONE: 8002390706 MAIL ADDRESS: STREET 1: C/O AMPERSAND VENTURES STREET 2: 55 WILLIAM STREET SUITE 240 CITY: WELLESLEY STATE: MA ZIP: 02181 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: V I TECHNOLOGIES INC CENTRAL INDEX KEY: 0001040017 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 113238476 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 134 COOLIDGE AVE CITY: WATERTOWN STATE: MA ZIP: 02472 BUSINESS PHONE: 5167527314 MAIL ADDRESS: STREET 1: 134 COOLIDGE AVE CITY: WATERTOWN STATE: MA ZIP: 02472 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-05-03 0001040017 V I TECHNOLOGIES INC VITX 0001054509 CHARPIE RICHARD A C/O AMPERSAND VENTURES 55 WILLIAM STREET, SUITE 240 WELLESLEY MA 02481 1 0 1 0 0001244768 AMPERSAND 1999 LP C/O AMPERSAND VENTURES 55 WILLIAM STREET, SUITE 240 WELLESLEY MA 02481 0 0 1 0 0001244765 AMP-99 MANAGEMENT CO LLC C/O AMPERSAND VENTURES 55 WILLIAM STREET, SUITE 240 WELLESLEY MA 02481 0 0 1 0 Stock Option (right to buy) 3.05 2005-05-03 4 A 0 25000 0 A 2015-05-03 Common Stock 25000 25000 D Stock Option (right to buy) 3.05 2005-05-03 4 J 0 25000 0 A 2015-05-03 Common Stock 25000 25000 I See footnote The option vests as to 25% of the total shares subject to the option on the sixth month anniversary following the date of grant and as to 25% of the total shares subject to the option on each of the second, third and fourth yearly anniversary following the date of grant. This option was granted to Dr. Charpie, a director of the issuer and the Principal Managing Member of AMP-99 Management Company Limited Liability Company, which is the General Partner of Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership. Dr. Charpie has assigned to Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership the economic benefits of such option. Dr. Charpie and each of these venture capital funds disclaim beneficial ownership of such option except to the extent of their respective pecuniary interest therein. The option was granted to Herbert Hooper, a director of the issuer and a partner of Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership. Dr. Hooper has assigned the economic benefits of such option to Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership, both of which disclaim beneficial ownership of the option except to the extent of their pecuniary interest therein. Dr. Charpie is the Principal Managing Member of AMP-99 Management Company Limited Liability Company, which is the General Partner of Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership. Dr. Charpie disclaims beneficial ownership of the option except to the extent of his pecuniary interest therein. Dr. Charpie, a director of the issuer, is the Principal Managing Member of AMP-99 Management Company Limited Liability Company, which is the General Partner of Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership. Richard A. Charpie, individually and as the Principal Managing Member of AMP-99 Management Company LLC, the General Partner of 1999 Limited Partnership 2005-05-05 -----END PRIVACY-ENHANCED MESSAGE-----