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*
GIMV NV

(Last) (First) (Middle)
KAREL OOMSSTRAAT 37

(Street)
ANTWERP C9 B-2018

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AVALON PHARMACEUTICALS INC [ AVRX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
10/04/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 10/04/2005 P 154,190 A $10.5 154,190 D(1)
Common Stock 10/04/2005 P 27,210 A $10.5 181,400 D(2)
Common Stock 10/04/2005 C 187,500 A (3) 368,900 D(1)
Common Stock 10/04/2005 C 374,571 A (4) 743,471 D(1)
Common Stock 10/04/2005 C 69,730 A $10.5 813,201 D(1)
Common Stock 10/04/2005 C 66,101 A (4) 879,302 D(2)
Common Stock 10/04/2005 C 12,305 A $10.5 891,607 D(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
Series A Redeemable Convertible Preferred Stock (3) 10/04/2005 C 1,500,000 (3) (3) Common Stock 187,500 $0.00 0 D(1)
Series B Redeemable Convertible Preferred Stock (4) 10/04/2005 C 1,698,927 (4) (4) Common Stock 374,571 $0.00 0 D(1)
8% Convertible Notes $10.5 10/04/2005 C $694,181 (5) 01/01/2006 Common Stock 69,730(5) $0.00 0 D(1)
Series B Redeemable Convertible Preferred Stock (4) 10/04/2005 C 299,810 (4) (4) Common Stock 66,101 $0.00 0 D(2)
8% Convertible Notes $10.5 10/04/2005 C $122,502 (5) 01/01/2006 Common Stock 12,305(5) $0.00 0 D(2)
1. Name and Address of Reporting Person*
GIMV NV

(Last) (First) (Middle)
KAREL OOMSSTRAAT 37

(Street)
ANTWERP C9 B-2018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
ADVIESBEHEER GIMV LIFE SCIENCES NV

(Last) (First) (Middle)
KAREL OOMSSTRAAT 37

(Street)
ANTWERP C9 B-2081

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Shares directly held by GIMV N.V.
2. Shares directly held by Adviesbeheer GIMV Life Sciences N.V.
3. On October 4, 2005, in connection with the closing of the initial public offering of the issuer, the Series A Redeemable Convertible Preferred Stock converted into common stock on a 1-for-0.125 basis and had no expiration date.
4. On October 4, 2005, in connection with the closing of the initial public offering of the issuer, the Series B Redeemable Convertible Preferred Stock converted into common stock on a 1-for-0.220475 basis and had no expiration date.
5. The 8% Convertible Notes have a maturity date of January 1, 2006. The 8% Convertible Notes automatically converted into common stock upon the closing of the issuer?s initial public offering at a conversion rate equal to the principal amount of the note, with accrued and unpaid interest, divided by the public offering price per share of the initial public offering.
Remarks:
This report is filed jointly by GIMV N.V. and Adviesbeheer GIMV Life Sciences N.V., as members of a Section 13(d) "group." The reported securities are directly held by GIMV N.V. and Adviesbeheer GIMV Life Sciences N.V. GIMV N.V. exercises voting and investment power over these securities through the members of its investment committee. The reporting persons on this Form 4 disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interests therein.
/s/ Thomas G. David Attorney-in-Fact 10/06/2005
** 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).
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