-----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, Vgv/JZM63WMVmQBW905ybDx1dnMhTCTKU3YAzLWB5xXvz3WfCodwKausq9eGrkS5 0Glsfu9+Hr832yCJ8LbojQ== 0001082504-05-000057.txt : 20050718 0001082504-05-000057.hdr.sgml : 20050718 20050718093206 ACCESSION NUMBER: 0001082504-05-000057 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041217 FILED AS OF DATE: 20050718 DATE AS OF CHANGE: 20050718 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINRAD INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001121225 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 872099034 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 847 MAIN ST. CITY: BUFFALO STATE: NY ZIP: 14203 BUSINESS PHONE: 716-855-1068 MAIL ADDRESS: STREET 1: 847 MAIN ST. CITY: BUFFALO STATE: NY ZIP: 14203 FORMER COMPANY: FORMER CONFORMED NAME: TECHNOLOGY ACQUISITION CORP DATE OF NAME CHANGE: 20000804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIMBERLIN KEVIN CENTRAL INDEX KEY: 0000904841 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49635 FILM NUMBER: 05958446 BUSINESS ADDRESS: STREET 1: SPENCER TRASK SECURITIES INC STREET 2: 535 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2123555565 3 1 primary_doc.xml PRIMARY DOCUMENT X0202 3 2004-12-17 0 0001121225 MINRAD INTERNATIONAL, INC. TACQ 0000904841 KIMBERLIN KEVIN 535 MADISON AVENUE 18TH FLOOR NEW YORK NY 10022 0 0 1 0 Common Stock 4825000 I See Note Warrants 1 2008-08-09 Common Stock 2500000 I See Note Warrants 0.75 2009-09-30 Common Stock 50000 I See Note Warrants 0.75 2009-10-30 Common Stock 50000 I See Note Warrants 0.75 2009-11-30 Common Stock 50000 I See Note Warrants 1.15 2010-05-02 Common Stock 746414 I See Note Warrants 1.15 2010-05-02 Common Stock 190628 I See Note Warrants 1.15 2010-05-02 Common Stock 19278 I See Note Warrants 1.15 2010-05-02 Common Stock 260870 I See Note Held by Spencer Trask Specialty Group, LLC, a Delaware limited liability company, of which the Reporting Person is the non-member manager and indirectly the principal owner. Warrants are currently excercisable. Held by Kevin Kimberlin Partners, L.P., a Delaware limited partnership, of which the Reporting Person is the general partner. The Reporting Person disclaims ownership of these securities except to the extent of his pecuniary interest therein. Held by Spencer Trask & Co. ("ST&Co."), a Delaware corporation, of which the Reporting Person is the sole stockholder and chairman. Held by Spencer Trask Ventures, Inc., a Delaware corporation and wholly-owned subsidiary of ST&Co. Held by Spencer Trask Private Equity Fund I LP, a Delaware limited partnership ("Fund I"). The general partner of Fund I is Trask Partners LLC, a Delaware limited liability company that is wholly owned by ST&Co. The Reporting Person disclaims any pecuniary interest in these securities. /s/ Kevin B. Kimberlin 2005-07-15 -----END PRIVACY-ENHANCED MESSAGE-----