-----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, D/5PN5OejmsImnGojwylKcl1qdMNcXeQo/Kk94a/IgHm5y6A91qqvsE/amYrsqIk aH4R1S/2hOFqVOfgzMutWg== 0000899140-04-000738.txt : 20040524 0000899140-04-000738.hdr.sgml : 20040524 20040524152205 ACCESSION NUMBER: 0000899140-04-000738 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040520 FILED AS OF DATE: 20040524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEATHERMAN ELIZABETH H CENTRAL INDEX KEY: 0001188681 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06523 FILM NUMBER: 04826818 BUSINESS ADDRESS: STREET 1: 5677 AIRLINE RD CITY: ARLINGTON STATE: TN ZIP: 38002 BUSINESS PHONE: 9018679971 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 4 1 weatherman_mti4-052404ex.xml X0202 4 2004-05-20 0 0000311407 MICRO THERAPEUTICS INC MTIX 0001188681 WEATHERMAN ELIZABETH H C/O WARBURG PINCUS LLC 466 LEXINGTON AVENUE NEW YORK NY 10017 1 0 0 0 Common Stock, par value $0.001 per share 28670277 I See Footnote Options to acquire common stock 4.17 2004-05-20 4 A 0 4000 0.00 A 2004-05-20 2014-05-20 Common stock, par value $0.001, per share 4000 28000 D Please see Exhibit 99.1. Please see Exhibit 99.1. /s/ Elizabeth H. Weatherman 2004-05-24 EX-99.1 2 m2553733.txt CONTINUATION SHEET EXHIBIT 99.1 ------------ Continuation Sheet Explanation of Responses (1) Warburg, Pincus Equity Partners, L.P., a Delaware limited partnership (together with three affiliated entities, "WPEP"), owns 4,333,518 shares of common stock, par value $0.001 per share ("Common Stock"), of Micro Therapeutics, Inc. (the "Company"). The sole general partner of WPEP is Warburg Pincus & Co., a New York general partnership ("WP"). Warburg Pincus LLC, a New York limited liability company ("WP LLC"), manages WPEP. The reporting person, a director of the Company, is a managing director and member of WP LLC and a general partner of WP. 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 all of the shares of Common Stock owned by WPEP as well as an indeterminate portion of the 24,336,759 shares of the Common Stock owned by Micro Investment, LLC, a Delaware limited liability company ("Micro LLC"), which is indirectly controlled by WPEP. The reporting person disclaims beneficial ownership of all shares of Common Stock owned by WPEP and the reporting person disclaims beneficial ownership of all shares of Common Stock owned by Micro LLC, in each case, except to the extent of any indirect pecuniary interest therein. (2) 1,000 of the options vested on 5/20/04; 1,000 of the options will vest on 5/20/05; 1,000 of the options will vest on 5/20/06; and 1,000 of the options will vest on 5/20/07. -----END PRIVACY-ENHANCED MESSAGE-----