-----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, WI8b25X5H4DNF8Ea3yptQm6sGxqqkl5Mm72UuuX9bouTraJUXXec6zXWaHgKU7r8 mP9zJsgeRP+MoCgcEP+LWQ== 0000950142-05-002101.txt : 20050720 0000950142-05-002101.hdr.sgml : 20050720 20050720195858 ACCESSION NUMBER: 0000950142-05-002101 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050720 FILED AS OF DATE: 20050720 DATE AS OF CHANGE: 20050720 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adams Respiratory Therapeutics, Inc. CENTRAL INDEX KEY: 0001319439 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 752725552 STATE OF INCORPORATION: TX FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 425 MAIN STREET CITY: CHESTER STATE: NJ ZIP: 07930 BUSINESS PHONE: (908) 879-1400 MAIL ADDRESS: STREET 1: 425 MAIN STREET CITY: CHESTER STATE: NJ ZIP: 07930 FORMER COMPANY: FORMER CONFORMED NAME: Adams Laboratories, Inc. DATE OF NAME CHANGE: 20050302 FORMER COMPANY: FORMER CONFORMED NAME: Adams Respiratory Therapeutics, Inc. DATE OF NAME CHANGE: 20050301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEARL FRANK H CENTRAL INDEX KEY: 0000927752 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964794 BUSINESS ADDRESS: STREET 1: 2099 PENNSYLVANIA AVENUE NW STREET 2: SUITE 900 CITY: WASHINGTON STATE: DC ZIP: 20006 BUSINESS PHONE: 2024520101 MAIL ADDRESS: STREET 1: 2099 PENNSYLVANIA AVENUE NW STREET 2: SUITE 900 CITY: WASHINGTON STATE: DC ZIP: 20003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERSEUSPUR LLC CENTRAL INDEX KEY: 0001253323 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964795 BUSINESS ADDRESS: STREET 1: 2099 PENNSYLVANIA AVE NW STREET 2: STE 900 CITY: WASHINGTON STATE: DC ZIP: 20006-1813 MAIL ADDRESS: STREET 1: 2099 PENNSYLVANIA AVE NW STREET 2: STE 900 CITY: WASHINGTON STATE: DC ZIP: 20006-1813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SFM AH LLC CENTRAL INDEX KEY: 0001237655 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964796 BUSINESS ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVENUE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 2122626300 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERSEUS BIOTECH FUND PARTNERS LLC CENTRAL INDEX KEY: 0001250198 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964798 MAIL ADDRESS: STREET 1: 2099 PENNSYLVANIA AVE NW STREET 2: STE 900 CITY: WASHINGTON STATE: DC ZIP: 20006-1813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERSEUS SOROS PARTNERS LLC CENTRAL INDEX KEY: 0001250191 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964800 MAIL ADDRESS: STREET 1: 888 SEVENTH AVE STREET 2: 29TH FL CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERSEUS SOROS BIOPHARMACEUTICAL FUND LP CENTRAL INDEX KEY: 0001111408 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964801 BUSINESS ADDRESS: STREET 1: ARMY & NAVY CLUB BLDG STREET 2: 1627 I ST NW STE 610 CITY: WASHINGTON STATE: DC ZIP: 20006 MAIL ADDRESS: STREET 1: 888 SEVENTH AVE STREET 2: 29TH FL CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOROS GEORGE CENTRAL INDEX KEY: 0000900203 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964793 BUSINESS ADDRESS: STREET 1: 888 SEVENTH AVENUE STREET 2: 33RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 212-262--6 MAIL ADDRESS: STREET 1: 888 SEVENTH AVE STREET 2: 33RD FLR CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOROS FUND MANAGEMENT LLC CENTRAL INDEX KEY: 0001029160 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964799 BUSINESS ADDRESS: STREET 1: 888 SEVENTH AVENUE 33RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 2128721054 MAIL ADDRESS: STREET 1: C/O AKIN, GUMP, STRAUSS,HAUER,FELD, STREET 2: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SFM PARTICIPATION LP CENTRAL INDEX KEY: 0001253598 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51445 FILM NUMBER: 05964797 MAIL ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 3 1 form3-psbpf072005_arxtex.xml X0202 3 2005-07-20 0 0001319439 Adams Respiratory Therapeutics, Inc. ARXT 0001111408 PERSEUS SOROS BIOPHARMACEUTICAL FUND LP 888 SEVENTH AVE 30TH FL NEW YORK NY 10106 0 0 1 0 0001250191 PERSEUS SOROS PARTNERS LLC 888 SEVENTH AVE 30TH FL NEW YORK NY 10106 0 0 1 0 0001029160 SOROS FUND MANAGEMENT LLC 888 SEVENTH AVENUE 33RD FLOOR NEW YORK NY 10106 0 0 1 0 0001250198 PERSEUS BIOTECH FUND PARTNERS LLC 2099 PENNSYLVANIA AVE NW STE 900 WASHINGTON DC 20006-1813 0 0 1 0 0001253598 SFM PARTICIPATION LP C/O SOROS FUND MANAGEMENT LLC 888 SEVENTH AVENUE, 31ST FLOOR NEW YORK NY 10106 0 0 1 0 0001237655 SFM AH LLC 888 SEVENTH AVENUE 33RD FLOOR NEW YORK NY 10106 0 0 1 0 0001253323 PERSEUSPUR LLC 2099 PENNSYLVANIA AVE NW STE 900 WASHINGTON DC 20006-1813 0 0 1 0 0000927752 PEARL FRANK H 2099 PENNSYLVANIA AVENUE NW SUITE 900 WASHINGTON DC 20003 0 0 1 0 0000900203 SOROS GEORGE 888 SEVENTH AVE 33RD FLR NEW YORK NY 10106 0 0 1 0 Common Stock, par value $0.01 per share 1557914 D Series B Convertible Preferred Stock Common Stock 3619690 D Series C Convertible Preferred Stock Common Stock 1519772 D All of the securities reported herein are held for the account of Perseus-Soros BioPharmaceutical Fund, LP ("Perseus-Soros"). Perseus-Soros Partners, LLC, a Delaware limited liability company ("Perseus-Soros Partners"), is the general partner of Perseus-Soros. Perseus BioTech Fund Partners, LLC, a Delaware limited liability company ("Perseus Partners"), and SFM Participation, L.P., a Delaware limited partnership ("SFM Participation"), are the managing members of Perseus-Soros Partners. Perseuspur, L.L.C., a Delaware limited liability company ("Perseuspur"), is the managing member of Perseus Partners. Mr. Frank Pearl ("Mr. Pearl") is the sole member of Perseuspur and in such capacity may be deemed a beneficial owner of securities held for the account of Perseus-Soros. SFM AH, LLC, a Delaware limited liability company ("SFM AH"), is the general partner of SFM Participation. The sole managing member of SFM AH is Soros Fund Management LLC, a Delaware limited liability company ("SFM LLC"). Mr. George Soros ("Mr. Soros") is the Chairman of SFM LLC and in such capacity may be deemed a beneficial owner of securities held for the account of Perseus-Soros. All of the outstanding shares of the Issuer's Series B Convertible Preferred Stock will automatically convert on a 1-for-1 basis into common stock immediately prior to the Issuer's initial public offering. All of the outstanding shares of the Issuer's Series C Convertible Preferred Stock will automatically convert on a 1-for-1 basis into common stock immediately prior to the Issuer's initial public offering. (5) Mr. Schoenfarber is signing in his capacity as Ass't. General Counsel of Soros Fund Management LLC, as Managing Member of SFM AH LLC, as General Partner of SFM Participation, L.P., as Managing Member of Perseus-Soros Partners, LLC, as General Partner of Perseus-Soros BioPharmaceutical Fund, LP. (6) Mr. Schoenfarber is signing in his capacity as Ass't. General Counsel of Soros Fund Management LLC, as Managing Member of SFM AH LLC, as General Partner of SFM Participation, L.P., as Managing Member of Perseus-Soros Partners, LLC. (7) Mr. Macklin is signing in his capacity as Secretary and Treasurer of Perseuspur, L.L.C., as Managing Member of Perseus BioTech Fund Partners, LLC. (8) Mr. Schoenfarber is signing in his capacity as Ass't. General Counsel of Soros Fund Management LLC, as Managing Member of SFM AH LLC, as General Partner of SFM Participation, L.P. (9) Mr. Schoenfarber is signing in his capacity as Ass't. General Counsel of Soros Fund Management LLC, as Managing Member of SFM AH LLC. (10) Mr. Macklin is signing in his capacity as Secretary and Treasurer of Perseuspur, L.L.C. (11) Mr. Macklin is signing in his capacity as Attorney-in-Fact for Mr. Pearl. (12) Mr. Schoenfarber is signing in his capacity as Ass't General Counsel of Soros Fund Management LLC. (13) Mr. Schoenfarber is signing in his capacity as Attorney-in-Fact for Mr. Soros. See Exhibit 99.1 /s/ Jay Schoenfarber, Assistant General Counsel (5) 2005-07-20 /s/ Jay Schoenfarber, Assistant General Counsel (6) 2005-07-20 /s/ Rodd Macklin, Secretary and Treasurer (7) 2005-07-20 /s/ Jay Schoenfarber, Assistant General Counsel (8) 2005-07-20 /s/ Jay Schoenfarber, Assistant General Counsel (9) 2005-07-20 /s/ Rodd Macklin, Secretary and Treasurer (10) 2005-07-20 /s/ Rodd Macklin, Attorney-in-Fact (11) 2005-07-20 /s/ Jay Schoenfarber, Assistant General Counsel (12) 2005-07-20 /s/ Jay Schoenfarber, Attorney-in-Fact (13) 2005-07-20 EX-99 2 ex99-1psbpf072005_arxt.txt EXHIBIT 99.1 EXHIBIT 99.1 ------------ Pursuant to Rule 16a-1(a)(2)(ii)(B) under the Securities Exchange Act of 1934, as amended (the "Act"), Perseus-Soros Partners, Perseus Partners, SFM Participation, Perseuspur, Mr. Pearl, SFM AH, Mr. Soros, and SFM LLC may be deemed to be beneficial owners of the shares beneficially owned by Perseus-Soros only to the extent of the greater of his or its respective direct or indirect interest in the profits or capital account of Perseus-Soros. Pursuant to Rule 16a-1(a)(4) under the Act, this filing shall not be deemed an admission that Perseus-Soros Partners, Perseus Partners, SFM Participation, Perseuspur, Mr. Pearl, SFM AH, Mr. Soros or SFM LLC is, for purposes of Section 16 of the Act or otherwise, the beneficial owner of any securities owned by Perseus-Soros in excess of such amount. -----END PRIVACY-ENHANCED MESSAGE-----