FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/15/2003 |
3. Issuer Name and Ticker or Trading Symbol
ADVANCIS PHARMACEUTICAL CORP [ AVNC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 28,550 | D | |
Common Stock | 13,523 | I | By Partnership(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: 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 A Convertible Preferred | (2) | (3) | Common Stock | 1,741,800 | $0 | I | By Partnership(4) |
Series B Convertible Preferred | (2) | (3) | Common Stock | 1,654,710 | $0 | I | By Partnership(5) |
Series C Convertible Preferred | (2) | (3) | Common Stock | 3,254,988 | $0 | I | By Partnership(6) |
Series D Convertible Preferred | (2) | (3) | Common Stock | 6,358,394 | $0 | I | By Partnership(7) |
Series E Convertible Preferred | (2) | (3) | Common Stock | 3,758,141 | $0 | I | By Partnership(8) |
Explanation of Responses: |
1. Represents shares held by the Werner Family Investment Limited Partnership. The Reporting Person is the General Partner of the Werner Family Investment Limited Partnership and, as such, disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
2. Immediately exercisable. |
3. Each of these shares will automatically convert into 0.5464242 shares of Common Stock of the Issuer on the date of the Closing of the initial public offering of the Issuer's securities. |
4. These securities are owned by HealthCare Ventures V, L.P. ("HCVV"). The Reporting Person is a general partner of HealthCare Partners V, L.P., the general partner of HCVV. The Reporting Person disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
5. 870,900 of these securities are owned by HCVV and 783,810 of these securities are owned by HealthCare Ventures VI, L.P. ("HCVVI") The Reporting Person is a general partner of each of HealthCare Partners V, L.P. ("HCPV") and HealthCare Partners VI, L.P. ("HCPVI"), the general partners of each of HCVV and HCVVI, respectively. The Reporting Person disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
6. 666,666 of these securities are owned by HCVV and 2,588,322 of these securities are owned by HCVVI. The Reporting Person is a general partner of each of HCPV and HCPVI, the general partners of each of HCVV and HCVVI, respectively. The Reporting Person disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
7. 2,474,886 of these securities are owned by HCVVand 3,883,508 of these securities are owned by HCVVI. The Reporting Person is a general partner of each of HCPV and HCPVI, the general partners of each of HCVV and HCVVI, respectively. The Reporting Person disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
8. 888,889 of these securities are owned by HCVV, and 2,869,252 of these securities are owned by HCVVI. The Reporting Person is a general partner of each of HCPV and HCPVI, the general partners of each of HCVV and HCVVI, respectively. The Reporting Person disclaims beneficial ownership in those securities in which he does not have a pecuniary interest, and this report shall not be deemed an admission that he is the beneficial owner of these securities for purposes of Section 16. |
Remarks: |
Jeffrey Steinberg, Attorney-in-Fact | 10/15/2003 | |
** 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 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |