0001209191-12-049016.txt : 20121010
0001209191-12-049016.hdr.sgml : 20121010
20121010204907
ACCESSION NUMBER: 0001209191-12-049016
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121010
FILED AS OF DATE: 20121010
DATE AS OF CHANGE: 20121010
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KYTHERA BIOPHARMACEUTICALS INC
CENTRAL INDEX KEY: 0001436304
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 27200 WEST AGOURA ROAD
STREET 2: SUITE 200
CITY: CALABASAS
STATE: CA
ZIP: 91301
BUSINESS PHONE: 818-587-4500
MAIL ADDRESS:
STREET 1: 27200 WEST AGOURA ROAD
STREET 2: SUITE 200
CITY: CALABASAS
STATE: CA
ZIP: 91301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Prospect Venture Partners III L P
CENTRAL INDEX KEY: 0001311490
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35663
FILM NUMBER: 121138802
BUSINESS ADDRESS:
STREET 1: 435 TASSO ST
STREET 2: SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-327-8800
MAIL ADDRESS:
STREET 1: 435 TASSO ST
STREET 2: SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Prospect Management Co. III, L.L.C.
CENTRAL INDEX KEY: 0001331894
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35663
FILM NUMBER: 121138801
BUSINESS ADDRESS:
STREET 1: 435 TASSO STREET
STREET 2: SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 6503278800
MAIL ADDRESS:
STREET 1: 435 TASSO STREET
STREET 2: SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94301
3
1
c30187_3x0.xml
MAIN DOCUMENT DESCRIPTION
X0206
3
2012-10-10
0
0001436304
KYTHERA BIOPHARMACEUTICALS INC
KYTH
0001311490
Prospect Venture Partners III L P
C/O PROSPECT VENTURE PARTNERS
435 TASSO STREET, SUITE 200
PALO ALTO
CA
94301
0
0
1
0
0001331894
Prospect Management Co. III, L.L.C.
C/O PROSPECT VENTURE PARTNERS
435 TASSO STREET, SUITE 200
PALO ALTO
CA
94301
0
0
1
0
Series A Preferred Stock
0
Common Stock
1476
I
See Footnote
Series B Preferred Stock
0
Common Stock
1314831
I
See Footnote
Series C Preferred Stock
0
Common Stock
469926
I
See Footnote
Series D Preferred Stock
0
Common Stock
118013
I
See Footnote
The shares are immediately convertible.
The shares do not have an expiration date.
Reflects a 1-for-2.6443 reverse stock split of the Issuer's outstanding securities effected prior to the effectiveness of the Issuer's S-1 Registration Statement.
Each share of Series A Preferred Stock will automatically convert on a 1-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering.
The shares are owned by Prospect Venture Partners III, L.P. ("PVP III"). Prospect Management Co. III, L.L.C. ("PMC III") serves as the general partner of PVP III and possesses sole voting and investment control over the shares owned by PVP III and may be deemed to have indirect beneficial ownership of the shares held by PVP III. PMC III however owns no securities of the Issuer directly. The Reporting Person disclaims beneficial ownership of the shares reported herein, except to the extent of its proportionate pecuniary interest therein.
Each share of Series B Preferred Stock will automatically convert on a 1.00784918354475-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering.
Each share of Series C Preferred Stock will automatically convert on a 1-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering.
Each share of Series D Preferred Stock will automatically convert on a 1-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering.
/s/ David Schnell, Managing Director of Prospect Management Co. III, LLC, which serves as the sole General Partner of Prospect Venture Partners III, L.P.
2012-10-10
/s/ David Schnell, Managing Director of Prospect Management Co. III, LLC
2012-10-10