-----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, EsUkyYrMrxCMm3h/2vmC+hsfD54uTgQ/R8knB+7Yh1BUe2HrUCf19AwUqGTgkTYC 0XiplJq7vvhXanOi+m+PhQ== 0000950005-97-000213.txt : 19970222 0000950005-97-000213.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950005-97-000213 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GADZOOKS INC CENTRAL INDEX KEY: 0000924140 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 742261048 STATE OF INCORPORATION: TX FISCAL YEAR END: 0127 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-45617 FILM NUMBER: 97532475 BUSINESS ADDRESS: STREET 1: 4801 SPRING VALLEY STE 108B CITY: DALLAS STATE: TX ZIP: 75244 BUSINESS PHONE: 2149915500 MAIL ADDRESS: STREET 1: 4801 SPRING VALLEY ROAD SUITE 108B CITY: DALLAS STATE: TX ZIP: 75244 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: INTERWEST PARTNERS IV LP ET AL CENTRAL INDEX KEY: 0000937851 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 943092627 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 3 SUITE 255 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 4158548585 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 3 SUITE 255 CITY: MENLO PARK STATE: CA ZIP: 94025 SC 13G/A 1 FORM SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (Amendment No. 1_)* UNDER THE SECURITIES EXCHANGE ACT OF 1934 Gadzooks, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 362553 10 9 - -------------------------------------------------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 2 of 15 Pages ------------ - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS InterWest Partners IV, a California limited partnership - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION California - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - --------- ------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* PN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 3 of 15 Pages ------------ - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS InterWest Management Partners IV, L.P. - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION California - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* PN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 3 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 4 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Harvey B. Cash - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 4 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 5 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Alan W. Crites - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 5,874 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 5,874 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - --------- ------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 5,874 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.07% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 5 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 6 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Philip T. Gianos - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 4,000 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 4,000 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,000 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.05% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 6 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 7 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Wallace R. Hawley - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------- ------------------------------------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 7 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 8 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS W. Scott Hedrick - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - --------- ------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 8 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 9 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS W. Stephen Holmes III - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 9 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 10 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Robert R. Momsen - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 10 of 15 pages - --------------------------------------------- ------------------------------------ 13G CUSIP No. 362553 10 9 Page 11 of 15 Pages ----------- - --------------------------------------------- ------------------------------------ - --------- ------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Alexander M. Seaver - --------- ------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - --------- ------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - --------- ------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- -------- -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 0 -------- -------------------------------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 0 -------- -------------------------------------------------------------------------------- EACH REPORTING PERSON WITH 7 SOLE DISPOSITIVE POWER 0 -------- -------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ----------------------------- -------- -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 - --------- ------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - --------- ------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.0% - --------- ------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - --------- ------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT!
Page 11 of 15 pages Item 1. (a) Name of Issuer: Gadzooks, Inc. ("Issuer") (b) Address of Issuer's Principal Executive Offices: 4801 Spring Valley Road, #108B Dallas, TX 75244 Item 2. (a) Name of Person(s) Filing: InterWest Partners IV, L.P., a California limited partnership ("IWP IV") InterWest Management Partners IV, L.P. ("IMP IV") Harvey B. Cash ("Cash") Alan W. Crites ("Crites") Philip T. Gianos ("Gianos") Wallace R. Hawley ("Hawley") W. Scott Hedrick ("Hedrick") W. Stephen Holmes ("Holmes") Robert R. Momsen ("Momsen") Alexander M. Seaver ("Seaver") (b) Address of Principal Business Office or, if none, Residence: 3000 Sand Hill Road Building 3, Suite 255 Menlo Park, CA 94025 (c) Citizenship/Place of Organization: IWP IV: California IMP IV: California Cash: United States Crites: United States Gianos: United States Hawley: United States Hedrick: United States Holmes: United States Momsen: United States Seaver: United States (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 362553 10 9 Item 3. Not applicable. Page 12 of 15 pages Item 4 Ownership. ================================================================================ Each Other IWP IV IMP IV Crites Gianos Individual - -------------------------------------------------------------------------------- (a) Beneficial Ownership 0 0 5,874 4,000 0 - -------------------------------------------------------------------------------- (b) Percentage of Class 0.0% 0.0% 0.07% 0.05% 0.0% - -------------------------------------------------------------------------------- (c) Sole Voting Power 0 0 5,874 4,000 0 - -------------------------------------------------------------------------------- Shared Voting Power 0 0 0 0 0 - -------------------------------------------------------------------------------- Sole Dispositive Power 0 0 5,874 4,000 0 - -------------------------------------------------------------------------------- Shared Dispositive Power 0 0 0 0 0 ================================================================================ Item 5. Ownership of Five Percent or Less of a Class This statement is being filed to report the fact that as of the date hereof the Reporting Persons have ceased to be the beneficial owner of more than five percent of the class of securities. Item 6. Ownership of More than Five Percent on Behalf of Another Person Under certain circumstances set forth in the partnership agreement of IMP IV, the general partners and/or limited partners of such partnership have the right to receive dividends from, or the proceeds from the sale of, the Common Stock of Issuer beneficially owned by such Partnership. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group No reporting person is a member of a group as defined in section 240.13d-1(b)(1)(iii)(H) of the Act. Item 9. Notice of Dissolution of Group Not applicable. Item 10. Certification Not applicable EXHIBITS A. Joint Filing Statement Page 13 of 15 pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February ____, 1997 INTERWEST PARTNERS IV, L.P., a California ------------------------------ limited partnership Harvey B. Cash By: InterWest Management Partners IV, L.P. ------------------------------ Alan W. Crites By: --------------------------------- ------------------------------ General Partner Philip T. Gianos INTERWEST MANAGEMENT PARTNERS IV, L.P. ------------------------------ By: Wallace R. Hawley --------------------------------- General Partner ------------------------------ W. Scott Hedrick ------------------------------ W. Stephen Holmes III ------------------------------ Robert R. Momsen ------------------------------ Alexander M. Seaver Page 14 of 15 pages EXHIBIT A We, the undersigned, hereby express our agreement that the attached Schedule 13G is filed on behalf of each of us. Date: February ____, 1997 INTERWEST PARTNERS IV, L.P., a California ------------------------------ limited partnership Harvey B. Cash By: InterWest Management Partners IV, L.P. ------------------------------ Alan W. Crites By: --------------------------------- ------------------------------ General Partner Philip T. Gianos INTERWEST MANAGEMENT PARTNERS IV, L.P. ------------------------------ Wallace R. Hawley By: --------------------------------- ------------------------------ General Partner W. Scott Hedrick ------------------------------ W. Stephen Holmes III ------------------------------ Robert R. Momsen ------------------------------ Alexander M. Seaver Page 15 of 15 pages -----END PRIVACY-ENHANCED MESSAGE-----