-----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, ChMdZTl5j7QmkAYqte83gEdS+oj2cto+alXho82Sdd50FHgue5NAZEVp0tuiUv44 0PxIC5STVT3FwiKJQcoiKw== 0001313617-05-000030.txt : 20050816 0001313617-05-000030.hdr.sgml : 20050816 20050816135620 ACCESSION NUMBER: 0001313617-05-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050812 FILED AS OF DATE: 20050816 DATE AS OF CHANGE: 20050816 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: 051030169 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: AMPERSAND 1999 LP CENTRAL INDEX KEY: 0001244768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24241 FILM NUMBER: 051030170 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: 051030171 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 2005-08-12 0001040017 V I TECHNOLOGIES INC VITX 0001054509 CHARPIE RICHARD A C/O AMPERSAND VENTURES 55 WILLIAM STREET, SUITE 240 WELLESLEY MA 02481 0 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 Common Stock 2005-08-12 4 J 0 4422413 D 5869302 I See footnote Common Stock 87127 I See footnote Common Stock 5675720 I See footnote Common Stock 12255 D On August 12, 2005, Ampersand 1999 Limited Partnership distributed 4,333,824 shares of the issuer's common stock in a pro rata distribution to its partners for no consideration and Ampersand 1999 Companion Fund Limited Partnership distributed 88,589 shares of the issuer's common stock in a pro rata distribution to its partners for no consideration. Richard A. Charpie may be attributed with the ownership of shares beneficially owned by Ampersand 1999 Limited Partnership, Ampersand 1999 Companion Fund Limited Partnership, Ampersand 1995 Limited Partnership, Ampersand 1995 Companion Fund Limited Partnership, Ampersand Venture Management Trust, AMP-99 Management Company Limited Liability Company ("AMP-99 MC LLC") and certain shares issuable pursuant to options exercisable within 60 days of August 15, 2005 that have been assigned to one or more of the foregoing entities. Dr. Charpie disclaims beneficial ownership of all such shares except to the extent of his proportionate pecuniary interest therein. Dr. Charpie is the Principal Managing Member of AMP-99 MC LLC, which is the General Partner of Ampersand 1999 Limited Partnership and Ampersand 1999 Companion Fund Limited Partnership. Dr. Charpie is the sole member of Ampersand Venture Management 2003 LLC, which is the sole owner of shares of beneficial interest of Ampersand Venture Management Trust. Dr. Charpie is the Managing Partner of AMP-95 MCLP LLP. AMP-95 MCLP LLP is the General Partner of AMP-95 Management Company Limited Partnership, which is the General Partner of Ampersand 1995 Limited Partnership and Ampersand 1995 Companion Fund Limited Partnership. AMP-99 MC LLC received 87,127 shares from the distribution referred to in footnote 1. Because it had previously reported indirect beneficial ownership of these shares, these transactions constitute a mere change in form of beneficial ownership. AMP-99 MC LLC disclaims beneficial ownership of such shares except to the extent of its proportionate pecuniary interest therein. Dr. Charpie is the beneficial owner of 9,555 shares and 2,700 shares issuable pursuant to options exercisable within 60 days of August 15, 2005. Dr. Charpie may be attributed with the ownership of 5,426,613 shares beneficially owned by Ampersand 1999 Limited Partnership, 110,601 shares beneficially owned by Ampersand 1999 Companion Fund Limited Partnership, 38,749 shares beneficially owned by Ampersand Venture Management Trust, 87,127 shares beneficially owned by AMP-99 MC LLC and 375 shares issuable pursuant to options exercisable within 60 days of August 15, 2005 that have been assigned to one or more of the foregoing entities. Dr. Charpie disclaims beneficial ownership of all such shares except to the extent of his proportionate pecuniary interest therein. On August 12, 2005, Ampersand 1995 Limited Partnership distributed 193,333 shares of the issuer's common stock in a pro rata distribution to its partners for no consideration and Ampersand 1995 Companion Fund Limited Partnership distributed 2,745 shares of the issuer's common stock in a pro rata distribution to its partners for no consideration. Dr. Charpie received 352 shares from the distributions described in footnotes 1 and 6. Because Dr. Charpie had previously reported indirect beneficial ownership of these shares, these transactions constitute a mere change in form of beneficial ownership. /s/ Richard A. Charpie, individually and as the Principal Managing Member of AMP-99 Management Company LLC, the General Partner of 1999 Limited Partnership 2005-08-16 -----END PRIVACY-ENHANCED MESSAGE-----