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