-----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, EZKQq5zb/1CCtY//iVjy5Dx3lDdje92Yj0YfGeBILqmBC5tCGpg0b2O94F7XiGnI 22GLpXG6qtHSi2KelL2qTA== 0000907303-05-000249.txt : 20051215 0000907303-05-000249.hdr.sgml : 20051215 20051215132755 ACCESSION NUMBER: 0000907303-05-000249 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051214 FILED AS OF DATE: 20051215 DATE AS OF CHANGE: 20051215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LA JOLLA PHARMACEUTICAL CO CENTRAL INDEX KEY: 0000920465 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 330361285 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6455 NANCY RIDGE DR CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8584526600 MAIL ADDRESS: STREET 1: 6455 NANCY RIDGE DR CITY: SAN DIEGO STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frazier Healthcare V, LP CENTRAL INDEX KEY: 0001341169 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24274 FILM NUMBER: 051265979 BUSINESS ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FHM V, LLC CENTRAL INDEX KEY: 0001346944 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24274 FILM NUMBER: 051265977 BUSINESS ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FHM V, LP CENTRAL INDEX KEY: 0001346948 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24274 FILM NUMBER: 051265978 BUSINESS ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET, SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 3 1 frazierform3lajolla_ex.xml X0202 3 2005-12-14 0 0000920465 LA JOLLA PHARMACEUTICAL CO LJPC 0001341169 Frazier Healthcare V, LP 601 UNION STREET, SUITE 3200 SEATTLE WA 98101 0 0 1 0 0001346948 FHM V, LP 601 UNION STREET, SUITE 3200 SEATTLE WA 98101 0 0 1 0 0001346944 FHM V, LLC 601 UNION STREET, SUITE 3200 SEATTLE WA 98101 0 0 1 0 Common Stock 20000000 D Warrants (right to buy) 1.00 2005-12-14 2010-12-13 Common Stock 5000000 D These securities are owned directly by Frazier Healthcare V, LP the designated filer. FHM V, LP, a joint filer, serves as the general partner of Frazier Healthcare V, LP and FHM V, LLC, a joint filer, serves as the general partner of FHM V, LP. FHM V, LP and FHM V, LLC disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein. Exhibit 99 - Form 3 Joint Filer Information. Frazier Healthcare V, LP By: FHM V, LP, its General Partner By: FHM V, LLC, its General Partner / Thomas S. Hodge, Chief Operating Officer 2005-12-15 EX-99 2 lajollaexh99.htm

Exhibit 99

 

Form 3 Joint Filer Information

 

 

Name:

FHM V, LP

 

Address:

601 Union Street, Suite 3200

 

Seattle, WA 98101

 

 

Designated Filer:

Frazier Healthcare V, LP

 

Issuer & Ticker Symbol:

La Jolla Pharmaceutical Company (LJPC)

 

Date of Event Requiring Statement:

December 14, 2005

 

 

FHM V, LP

 

 

By: FHM V, LLC, its General Partner

 

 

 

By:

    /s/ Thomas S. Hodge                

 

Thomas S. Hodge,

 

 

Chief Operating Officer

 

 

Name:

FHM V, LLC

 

Address:

601 Union Street, Suite 3200

 

Seattle, WA 98101

 

 

Designated Filer:

Frazier Healthcare V, LP

 

Issuer & Ticker Symbol:

La Jolla Pharmaceutical Company (LJPC)

 

Date of Event Requiring Statement:

December 14, 2005

 

 

FHM V, LLC

 

 

 

By:       /s/ Thomas S. Hodge              

 

Thomas S. Hodge,

 

 

Chief Operating Officer

 

 

 

 

 

 

 

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