1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series B-1 Convertible Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
8,571
(3)
|
$
0
|
D
|
Â
|
Series C Convertible Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
1,443
(3)
|
$
0
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(4)
|
03/06/2018 |
Common Stock
|
2,340
|
$
0.9
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(4)
|
03/06/2019 |
Common Stock
|
2,340
|
$
4.04
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
03/06/2020 |
Common Stock
|
2,340
|
$
8.78
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(6)
|
07/12/2021 |
Common Stock
|
2,340
|
$
8.78
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(7)
|
07/21/2022 |
Common Stock
|
2,340
|
$
8.78
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(8)
|
04/19/2023 |
Common Stock
|
2,340
|
$
4.42
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Immediately convertible. The Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series B-1 Convertible Preferred Stock and Series C Convertible Preferred stock automatically convert into shares of Issuer's common stock immediately prior to the completion of Issuer's initial public offering. |
(2) |
The expiration date is not relevant to the conversion of these securities. |
(3) |
Reflects a 1-for-6.41 reverse stock split, pursuant to which each share of preferred stock became convertible into 1/6.41 of a share of common stock. |
(4) |
These shares are fully vested and immediately exercisable. |
(5) |
25% of the shares subject to the option vest on March 6, 2011 and the remainder shall vest in equal annual installments over a period of three years. |
(6) |
25% of the shares subject to the option vest on July 12, 2012 and the remainder shall vest in equal annual installments over a period of three years. |
(7) |
25% of the shares subject to the option vest on July 12, 2013 and the remainder shall vest in equal annual installments over a period of three years. |
(8) |
25% of the shares subject to the option vest on April 19, 2014 and the remainder shall vest in equal annual installments over a period of three years. |