-----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, S2jtBEnTPEpnxTi+Q3WaMnBsPI2aspj02ZNL/8HIotcFp7PHph7emF3H6nhRJ0SI hR6+Lk7NRskNMKNPYHfucA== 0000899140-04-000108.txt : 20040203 0000899140-04-000108.hdr.sgml : 20040203 20040203101719 ACCESSION NUMBER: 0000899140-04-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040130 FILED AS OF DATE: 20040203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MICRO THERAPEUTICS INC CENTRAL INDEX KEY: 0000311407 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 330569235 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2 GOODYEAR CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 9498373700 MAIL ADDRESS: STREET 1: 2 GOODYEAR CITY: IRVINE STATE: CA ZIP: 92618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EMMITT RICHARD B CENTRAL INDEX KEY: 0001083927 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06523 FILM NUMBER: 04561169 BUSINESS ADDRESS: STREET 1: 18 BANK STREET CITY: SUMMIT STATE: NJ ZIP: 07901 BUSINESS PHONE: 9082773737 MAIL ADDRESS: STREET 1: 18 BANK STREET CITY: SUMMIT STATE: NJ ZIP: 07901 4 1 emmitt_mti4-020304ex.xml X0201 4 2004-01-30 0 0000311407 MICRO THERAPEUTICS INC MTIX 0001083927 EMMITT RICHARD B 25 DEFOREST AVENUE SUMMIT NJ 07091 1 0 0 0 Common Stock, par value $0.001 per share 2004-01-30 4 J 0 481502 2.73 A 24818261 I See footnotes Exchangeable Promissory Note 2.73 2004-01-30 4 J 0 1300000 0 D 2003-12-04 2004-12-04 Common Stock, par value $0.001 per share 481502 0 I See footnotes Pursuant to a Note Purchase Agreement, dated as of December 4, 2003, by and among Micro Therapeutics, Inc. (the "Company"), Vertical Fund I, L.P., a Delaware limited partnership ("VFI"), Vertical Fund II, L.P., a Delaware limited partnership ("VFII" and together with VFI, "Vertical"), and the other investors named therein (the "Note Purchase Agreement"), Vertical agreed to purchase an aggregate principal amount of $1,300,000 of exchangeable promissory notes from the Company (the "Exchangeable Notes"). The Exchangeable Notes accrued interest at 7% per annum, which interest compounded quarterly. On January 30, 2004, Vertical exchanged all of the Exchangeable Notes held by Vertical for 481,502 shares of common stock. The number of shares of common stock received by Vertical was determined by dividing (i) the aggregate principal balance on such Exchangeable Notes plus accrued and unpaid interest thereon at January 30, 2004 b y (ii) $2.73. The reporting person, a director of the Company, is a general partner of The Vertical Group, L.P., a Delaware limited partnership, the sole general partner of VFI and VFII. VFI and VFII are members of ev3 LLC, a Delaware limited liability company, which wholly owns Micro Investment, LLC, a Delaware limited liability company ("Micro LLC"). By reason of the provisions of Rule 16a-1 of the Securities Exchange Act of 1934, as amended, the reporting person may be deemed to be the beneficial owner of an indeterminate portion of the 24,336,759 shares of the Company's common stock owned by Micro LLC, although he disclaims beneficial ownership of those shares, except to the extent of any indirect pecuniary interest therein. The reporting person disclaims beneficial ownership of all shares of the Company's common stock beneficially owned by Vertical, except to the extent of any indirect pecuniary interest therein. /s/ Richard B. Emmitt 2004-01-30 -----END PRIVACY-ENHANCED MESSAGE-----