-----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, Dt6bNeK4+vL2Tth57pgVWvXNDuYV2FCySAO3ZsxiTWpbSeeZ5Omxm9ocwBpx3cUT NwpeuS0rnuyXuE+CyY/Pxw== 0001295357-07-000004.txt : 20070207 0001295357-07-000004.hdr.sgml : 20070207 20070207163131 ACCESSION NUMBER: 0001295357-07-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20070206 FILED AS OF DATE: 20070207 DATE AS OF CHANGE: 20070207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XTENT INC CENTRAL INDEX KEY: 0001212235 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 412047573 BUSINESS ADDRESS: STREET 1: 125 CONSTITUTION DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6502989500 MAIL ADDRESS: STREET 1: 125 CONSTITUTION DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ST PAUL VENTURE CAPITAL VI LLC CENTRAL INDEX KEY: 0001258189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33282 FILM NUMBER: 07588557 BUSINESS ADDRESS: STREET 1: 10400 VIKING DR STREET 2: STE 550 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9529957465 MAIL ADDRESS: STREET 1: 10400 VIKING DR STREET 2: STE 550 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Split Rock Partners LLC CENTRAL INDEX KEY: 0001295357 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33282 FILM NUMBER: 07588558 BUSINESS ADDRESS: STREET 1: 10400 VIKING DR STREET 2: SUITE 550 CITY: MINNEAPOLIS STATE: MN ZIP: 55344 BUSINESS PHONE: 952- 995-7474 MAIL ADDRESS: STREET 1: 10400 VIKING DR STREET 2: SUITE 550 CITY: MINNEAPOLIS STATE: MN ZIP: 55344 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ST PAUL FIRE & MARINE INSURANCE CO CENTRAL INDEX KEY: 0000316747 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33282 FILM NUMBER: 07588559 BUSINESS ADDRESS: STREET 1: 385 WASHINGTON ST CITY: ST PAUL STATE: MN ZIP: 55102 BUSINESS PHONE: 6153105458 FORMER NAME: FORMER CONFORMED NAME: SAINT PAUL FIRE & MARINE INSURANCE CO DATE OF NAME CHANGE: 19600201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ST PAUL TRAVELERS COMPANIES INC CENTRAL INDEX KEY: 0000086312 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33282 FILM NUMBER: 07588560 BUSINESS ADDRESS: STREET 1: 385 WASHINGTON ST CITY: SAINT PAUL STATE: MN ZIP: 55102 BUSINESS PHONE: 6123107911 FORMER NAME: FORMER CONFORMED NAME: ST PAUL FIRE & MARINE INSURANCE CO/MD DATE OF NAME CHANGE: 19990219 FORMER NAME: FORMER CONFORMED NAME: ST PAUL COMPANIES INC/MN/ DATE OF NAME CHANGE: 19990219 FORMER NAME: FORMER CONFORMED NAME: ST PAUL COMPANIES INC /MN/ DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2007-02-06 0 0001212235 XTENT INC XTNT 0000086312 ST PAUL TRAVELERS COMPANIES INC 385 WASHINGTON STREET ST. PAUL MN 55102 0 0 1 0 0000316747 ST PAUL FIRE & MARINE INSURANCE CO 385 WASHINGTON STREET ST. PAUL MN 55102 0 0 1 0 0001295357 Split Rock Partners LLC 10400 VIKING DR SUITE 550 EDEN PRAIRIE MN 55344 0 0 1 0 0001258189 ST PAUL VENTURE CAPITAL VI LLC 10400 VIKING DR STE 550 EDEN PRAIRIE MN 55344 0 0 1 0 Common Stock 2007-02-06 4 C 0 2615135 A 2615135 I by St. Paul Venture Capital VI, LLC Series B Preferred Stock 2007-02-06 4 C 0 1263297 D Common Stock 1263297 0 I by St. Paul Venture Capital VI, LLC Series C Preferred Stock 2007-02-06 4 C 0 1014760 D Common Stock 1014760 0 I by St. Paul Venture Capital VI, LLC Series D Preferred Stock 2007-02-06 4 C 0 337078 D Common Stock 337078 0 I by St. Paul Venture Capital VI, LLC See Exhibit 99.2 for footnote disclosure. See Exhibit 99.2 for footnote disclosure. See Exhibit 99.2 for footnote disclosure. See Exhibit 99.1 for joint filer information. See Exhibit 99.2 for footnote disclosure. /s/ Bruce A. Backberg, Senior Vice President, The St. Paul Travelers Companies, Inc. 2007-02-07 EX-99.1 2 textfile99_1.txt JOINT FILER INFORMATION Exhibit 99.1 Joint Filer Information Name: St. Paul Fire and Marine Insurance Company Address: 385 Washington Street St. Paul, MN 55102 Designated Filer: The St. Paul Travelers Companies, Inc. Issuer & Trading Symbol: XTENT, Inc. (XTNT) Date of Event Requiring Statement: 2/6/2007 Signature: By: /s/ Steven L.P. Schwen Its: Authorized Representative Name: Split Rock Partners, LLC Address: 10400 Viking Drive, Suite 550 Eden Prairie, MN 55344 Designated Filer: The St. Paul Travelers Companies, Inc. Issuer & Trading Symbol: XTENT, Inc. (XTNT) Date of Event Requiring Statement: 2/6/2007 Signature: By: /s/ Steven L.P. Schwen Its: Chief Financial Officer Name: St. Paul Venture Capital VI, LLC Address: 10400 Viking Drive, Suite 550 Eden Prairie, MN 55344 Designated Filer: The St. Paul Travelers Companies, Inc. Issuer & Trading Symbol: XTENT, Inc. (XTNT) Date of Event Requiring Statement: 2/6/2007 Signature: By: /s/ Steven L.P. Schwen Its: Chief Financial Officer EX-99.2 3 textfile99_2.txt FOOTNOTE DISCLOSURE Exhibit 99.2 Footnote Disclosure (1) Not applicable. (2) Represents securities held directly by St. Paul Venture Capital VI, LLC, which is jointly managed by Split Rock Partners, LLC and Vesbridge Partners, LLC. Voting and investment power over the shares, however, has been delegated solely to Split Rock Partners, LLC. Split Rock Partners, LLC has delegated voting and investment decisions with respect to the shares to four individuals who require a two-thirds vote to act. St. Paul Fire and Marine Insurance Company, a wholly owned subsidiary of The St. Paul Travelers Companies, Inc., has the right to appoint a majority of the members of the board of directors of St. Paul Venture Capital VI, LLC, and owns a controlling interest of St. Paul Venture Capital VI, LLC. Each of Split Rock Partners, LLC, St. Paul Fire and Marine Insurance Company and The St. Paul Travelers Companies, Inc. may be deemed to be an indirect beneficial owner of the reported securities. Each of Split Rock Partners, LLC, St. Paul Fire and Marine Insurance Company and The St. Paul Travelers Companies, Inc. disclaims any beneficial ownership of the reported securities, except to the extent of any pecuniary interest therein. This report shall not be deemed an admission that any of the reporting persons is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (3) Each share of Series B, Series C and Series D Preferred Stock automatically converted into shares of the Issuer's Common Stock on a one-for-one basis immediately prior to the closing of the Issuer's initial public offering on February 6, 2007. Prior to its automatic conversion into the Issuer's Common Stock, the Series B, Series C and Series D Preferred Stock was convertible at any time at the option of the holder. -----END PRIVACY-ENHANCED MESSAGE-----