-----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, ABDU7OhxlMLz+cwy5aleuO3hYChulVXvFlMQcxppCAEMbJ9IkeL3eBV4K55sCXLD IExVw4OwubMiT0a+eCtjDA== 0001104659-04-039496.txt : 20041214 0001104659-04-039496.hdr.sgml : 20041214 20041214144829 ACCESSION NUMBER: 0001104659-04-039496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20041210 FILED AS OF DATE: 20041214 DATE AS OF CHANGE: 20041214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arnold Stephen D CENTRAL INDEX KEY: 0001295787 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201255 BUSINESS ADDRESS: BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCGUIRE TERRANCE CENTRAL INDEX KEY: 0001117003 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201253 BUSINESS ADDRESS: BUSINESS PHONE: 781-290-0770 MAIL ADDRESS: STREET 1: C/O POLARIS VENTURE PARTNERS LP STREET 2: 1000 WINTER STREET, SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02154 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Flint Jonathan A CENTRAL INDEX KEY: 0001295676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201254 BUSINESS ADDRESS: BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: POLARIS INDUSTRIES INC/MN CENTRAL INDEX KEY: 0000931015 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS TRANSPORTATION EQUIPMENT [3790] IRS NUMBER: 411790959 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2100 HIGHWAY 55 CITY: MEDINA STATE: MN ZIP: 55340 BUSINESS PHONE: (763) 542-0500 MAIL ADDRESS: STREET 1: 2100 HIGHWAY 55 STREET 2: NONE CITY: MEDINA STATE: MN ZIP: 55340 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPOON ALAN G CENTRAL INDEX KEY: 0001018394 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201252 BUSINESS ADDRESS: STREET 1: C/O THE WASHINTON POST CO STREET 2: 1150 15TH ST NW CITY: WASHINGTON STATE: DC ZIP: 20071 BUSINESS PHONE: 2029946694 MAIL ADDRESS: STREET 1: 1150 15TH ST NW CITY: WASHINGTON STATE: DC ZIP: 20071 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLARIS VENTURE PARTNERS III LP CENTRAL INDEX KEY: 0001104639 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201258 BUSINESS ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALLTHAM STATE: MA ZIP: 02451-1215 BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLARIS VENTURE MANAGEMENT CO III LLC CENTRAL INDEX KEY: 0001114126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201259 BUSINESS ADDRESS: STREET 1: 1000 WINTER STREET SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451-1215 BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLARIS VENTURE PARTNERS FOUNDERS FUND III LP CENTRAL INDEX KEY: 0001114437 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201256 BUSINESS ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLARIS VENTURE PARTNERS ENTREPRENEURS FUND III LP CENTRAL INDEX KEY: 0001114889 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041201257 BUSINESS ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451-1215 BUSINESS PHONE: 7812900770 MAIL ADDRESS: STREET 1: 1000 WINTER STREET STREET 2: SUITE 3350 CITY: WALTHAM STATE: MA ZIP: 02451 4 1 a4.xml 4 X0202 4 2004-12-10 0 0000931015 POLARIS INDUSTRIES INC/MN ALNY 0001114126 POLARIS VENTURE MANAGEMENT CO III LLC 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001104639 POLARIS VENTURE PARTNERS III LP 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001114889 POLARIS VENTURE PARTNERS ENTREPRENEURS FUND III LP 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001114437 POLARIS VENTURE PARTNERS FOUNDERS FUND III LP 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001295787 Arnold Stephen D 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001295676 Flint Jonathan A 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001117003 MCGUIRE TERRANCE 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 0001018394 SPOON ALAN G 1000 WINTER STREET SUITE 3350 WALTHAM MA 02451-1215 0 0 1 0 Common Stock 2004-12-10 4 S 0 908 6.757 D 65335 I See footnotes Common Stock 2004-12-10 4 S 0 35540 6.757 D 2518030 I See footnotes Common Stock 2004-12-10 4 S 0 552 6.757 D 39662 I See footnotes These shares are owned directly by Polaris Venture Partners Entrepreneurs' Fund III, L.P. ("PVPEF III"), of which Polaris Venture Management Co. III, LLC ("PVM III") is the General Partner. As such, PVM III may be deemed to share voting and investment powers with respect to the shares owned by PVPEF III. These shares are owned directly by Polaris Venture Partners III, L.P. ("PVP III") of which PVM III is the General Partner. As such, PVM III may be deemed to share voting and investment powers with respect to the shares owned by PVP III. These shares are owned directly by Polaris Venture Partners Founders' Fund III, L.P. ("PVPFF III"), of which PVM III is the General Partner. As such, PVM III may be deemed to share voting and investment powers with respect to the shares owned by PVPFF III. PVM III is the General Partner of PVP III, PVPEF III and PVPFF III, and Stephen D. Arnold, Jonathan A. Flint, Terrance G. McGuire and Alan G. Spoon, the managing members of PVM III, may be deemed to share voting and dispositive power over the shares held by PVP III, PVPEF III and PVPFF III. Such persons disclaim beneficial ownership of shares held by PVP III, PVPEF III and PVPFF III except to the extent of any pecuniary interest therein. North Star Ventures directly or indirectly provides investment advisory services to various venture capital funds, including PVM III, the General Partner of PVPEF III, PVPFF III and PVP III. The respective General Partners of these funds exercise sole voting and investment power with respect to the shares held by such funds. Continued from footnote 5. The members of North Star Ventures are members of PVM III, the General Partner of PVPEF III, PVPFF III and PVP III. As members of PVM III, they may be deemed to share voting and investment powers with respect to the shares held by such funds. These principals disclaim beneficial ownership of all such shares except to the extent of their proportionate pecuniary interest therein. Form filed by more than one reporting person /s/ Kevin Littlejohn, Authorized Signatory 2004-12-14 EX-24 2 ex-24.htm EX-24

 

Exhibit 24

 

STATEMENT APPOINTING DESIGNATED FILER AND AUTHORIZED SIGNATORIES

 

Kevin Littlejohn has signed certain of these documents as Authorized Signatory. Note that copies of the applicable Statement Appointing Designated Filer and Authorized Signatories are already on file with the appropriate agencies.

 

 

 EX-99 3 ex-99.htm EX-99

 

Exhibit 99

 

JOINT FILER INFORMATION

 

Joint Filer Name:

 

Polaris Venture Partners III, L.P.

Relationship to Issuer:

 

10% Owner

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Polaris Venture Partners III, L.P.

 

 

By:

Polaris Venture Management Co. III L.L.C.

Its General Partner

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

Joint Filer Name:

 

Polaris Venture Partners Entrepreneurs’ Fund III, L.P

Relationship to Issuer:

 

10% Owner

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Polaris Venture Partners Entrepreneurs’ Fund III, L.P.

 

 

By:

Polaris Venture Management Co. III L.L.C.

Its General Partner

 

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

Joint Filer Name:

 

Polaris Venture Partners Founders’ Fund III, L.P

Relationship to Issuer:

 

10% Owner

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Polaris Venture Partners Founders’ Fund III, L.P.

 

 

By:

Polaris Venture Management Co. III L.L.C.

Its General Partner

 

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

 


 

Joint Filer Name:

 

North Star Venture Management 2000, L.L.C.

Relationship to Issuer:

 

10% Owner, as provider of investment advisory services to PVM III, the general partner of PVP III, PVPEF III and PVPFF III (the reporting person disclaims beneficial ownership of the reported securities except to the extent of its pecuniary interest therein)

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

North Star Venture Management 2000, L.L.C.

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

Joint Filer Name:

 

Stephen D. Arnold

Relationship to Issuer:

 

10% Owner, as managing member of PVM III, the general partner of PVP III, PVPEF III and PVPFF III (the reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein)

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Stephen D. Arnold

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

Joint Filer Name:

 

Jonathan A. Flint

Relationship to Issuer:

 

10% Owner, as managing member of PVM III, the general partner of PVP III, PVPEF III and PVPFF III (the reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein)

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Jonathan A. Flint

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

 


 

Joint Filer Name:

 

Terrance G. McGuire

Relationship to Issuer:

 

10% Owner, as managing member of PVM III, the general partner of PVP III, PVPEF III and PVPFF III (the reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein)

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Terrance G. McGuire

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

Joint Filer Name:

 

Alan G. Spoon

Relationship to Issuer:

 

10% Owner, as managing member of PVM III, the general partner of PVP III, PVPEF III and PVPFF III (the reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein)

Address:

 

1000 Winter Street, Suite 3350

Waltham, MA 02451

Designated Filer:

 

Polaris Venture Management Co. III, L.L.C.

Date of Event Requiring Statement:

 

12/10/04

Issuer Name and Ticker or Trading Symbol:

 

Alnylam Pharmaceuticals Inc. (ALNY)

 

 

 

Signature

 

Alan G. Spoon

 

 

 

 

 

By:

/s/ Kevin Littlejohn

 

 

 

Kevin Littlejohn, Authorized Signatory

 

 

 

 

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