SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HENSON MICHAEL R

(Last) (First) (Middle)
821 FOX LANE

(Street)
SAN JOSE CA 95131

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MICRUS ENDOVASCULAR CORP [ MEND ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/21/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
06/23/2005
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/21/2005 C 958(1) A (2) 75,135 D
Common Stock 06/21/2005 C 6,387(1)(3) A (2) 81,522 D
Common Stock 06/21/2005 C 95,978(4) A (2) 109,726 I JAIC-Henson MedFocus Fund, LLC
Common Stock 06/21/2005 C 27,777(5) A (2) 34,089 I JAIC-Henson MedFocus Fund II, LLC
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series D Preferred Stock (2) 06/21/2005 C 958 (2) (6) Common Stock 958 $0.00 0 D
Series D Preferred Stock (2) 06/21/2005 C 6,387 (2) (6) Common Stock 6,387 $0.00 0 D
Series E Preferred Stock (2) 06/21/2005 C 27,777(7) (2) (6) Common Stock 27,777 $0.00 0 I JAIC-Henson MedFocus Fund, LLC
Series E Preferred Stock (2) 06/21/2005 C 27,777 (2) (6) Common Stock 27,777 $0.00 0 I JAIC-Henson MedFocus Fund II, LLC
Explanation of Responses:
1. Converted Series D Preferred Stock erroneously omitted from the original Form 4 from a Series D warrant that had been exercised in April 2005.
2. Converts on a 1 to 1 basis.
3. On the original Form 4, the form of ownership of these 6,387 shares was erroneously reflected being indirectly held by the Henson Family Trust, however the shares are directly held by Michael R. Henson.
4. The original Form 4 reflected the amount of 123,755, however, 27,777 of these shares of Common Stock (converted from Series E Preferred Stock) were actually owned by JAIC-Henson MedFocus Fund II, LLC.
5. Converted Series E Preferred Stock.
6. Not applicable.
7. The original Form 4 reflected 55,554 as the number of derivative securities disposed of by JAIC-Henson MedFocus Fund,LLC, but the accurate amount was 27,777, as 27,777 of the shares were owned by JAIC-Henson MedFocus Fund II, LLC.
Remarks:
/s/Michael R. Henson by Robert A. Stern, Attorney-in-Fact. 10/03/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
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