LEMKE VON AMMON DEREK 4

Accession 0001209191-03-025799

CIK 0001115143other

Filed

Oct 15, 8:00 PM ET

Accepted

Oct 16, 1:50 PM ET

Size

31.9 KB

Accession

0001209191-03-025799

Form 4

Period: 2003-10-14

Director

Transactions

Conversion
Series J-3 Convertible Preferred Stock
2003-10-14−2,238,466→ 0 total(indirect: See Footnote)
Exercise: $0.00From: 2003-10-14Exp: 2003-10-14→ Common (746,155 underlying)
Conversion
Series I-2 Convertible Preferred Stock
2003-10-14−526,316→ 0 total(indirect: See Footnote)
Exercise: $0.00From: 2003-10-14Exp: 2003-10-14→ Common (295,509 underlying)
Conversion
Series F-2 Convertible Preferred Stock
2003-10-14−2,493,423→ 0 total(indirect: See Footnote)
Exercise: $0.00From: 2003-10-14Exp: 2003-10-14→ Common (512,717 underlying)
Conversion
Series J-2 Convertible Preferred Stock
2003-10-14−3,546,099→ 0 total(indirect: See Footnote)
Exercise: $0.00From: 2003-10-14Exp: 2003-10-14→ Common (591,017 underlying)
Conversion
Common Stock
2003-10-14+3,013,038→ 3,013,038 total(indirect: See Footnote)
Conversion
10% Secured Convertible Promossory Note
2003-10-14−7,360,207→ 0 total(indirect: See Footnote)
Exercise: $0.00From: 2003-10-14Exp: 2004-06-30→ Common (869,092 underlying)

Footnotes (9)

[F1]The amount reported in Column 4 includes 2,583,216 shares held by Thomas Weisel Capital Partners, L.P., 59,683 shares held by TWP CEO Founder's Circle (AI), L.P., 218,056 shares held by TWP CEO Founder's Circle (QP), L.P., 60,435 shares held by Thomas Weisel Capital Partners (Dutch), L.P., 60,435 shares held by Thomas Weisel Capital Partners (Dutch II), L.P., 19,074 shares held by Thomas Weisel Capital Partners Employee Fund, L.P. and 12,079 shares held by TWP 2000 Co-Investment Fund, L.P. These shares were acquired upon conversion of securities described in footnotes 2 through 6.
[F2]See "Notes to Footnote 2" in Exhibit 99.1.
[F3]See "Notes to Footnote 3" in Exhibit 99.1.
[F4]See "Notes to Footnote 4" in Exhibit 99.1
[F5]See "Notes to Footnote 5" in Exhibit 99.1.
[F6]See "Notes to Footnote 6" in Exhibit 99.1.
[F7]These securities are convertible at any time into shares of common stock.
[F8]These securities are preferred stock of Acusphere and do not have an expiration date. These securities automatically converted into shares of Acusphere's Common Stock upon the consumation of Acusphere's initial public offering on October 14, 2003.
[F9]The 10% Secured Convertible Promissory Notes were convertible into shares of common stock anytime prior to the maturity date, June 30, 2004. These securities automatically converted into shares of Acusphere's Common Stock upon the consumation of Acusphere's initial public offering on October 14, 2003.

Documents

2 files

ACUSPHERE INC

CIK 0001115143

Entity typeother