-----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, Op67zrik6LJtATCfO8Pm+uTy/BI0sydInd/4M2ZOQ31fn9OkdESQEDqU+kXTDQJm Gin03zyFIwP+PdVj/9PXNA== 0000950135-00-000799.txt : 20000215 0000950135-00-000799.hdr.sgml : 20000215 ACCESSION NUMBER: 0000950135-00-000799 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000214 GROUP MEMBERS: ATLAS INVESTERINGSGROEP NV GROUP MEMBERS: ATLAS VENTURE ASSOC. II LP GROUP MEMBERS: ATLAS VENTURE EUROPE FUND BV GROUP MEMBERS: ATLAS VENTURE FUND II L P SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CARDIMA INC CENTRAL INDEX KEY: 0001022570 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 943177883 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-52701 FILM NUMBER: 542385 BUSINESS ADDRESS: STREET 1: 47266 BENICIA STREET CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5103540300 MAIL ADDRESS: STREET 1: 47266 BENICIA ST CITY: FREMONT STATE: CA ZIP: 94538 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ATLAS VENTURE FUND II L P CENTRAL INDEX KEY: 0001030571 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 043226975 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O ATLAS VENTURE STREET 2: 222 BERKELEY STREET CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 6178599290 MAIL ADDRESS: STREET 1: C/O ATLAS VENTURE STREET 2: 222 BERKELEY STREET CITY: BOSTON STATE: MA ZIP: 02116 SC 13G/A 1 CARDIMA INC SC 13G/A 1 ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0145 Expires: November 30, 1999 Estimated average burden hours per response . . . 14.90 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1 )* CARDIMA, INC. ------------------------------------------------------- (Name of Issuer) COMMON STOCK, $.001 par value ------------------------------------------------------- (Title of Class of Securities) 14147M106 ------------------------------------------------------- (CUSIP Number) ------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 SCHEDULE 13G CUSIP No. 14147M106 PAGE 2 OF 12 PAGES -- -- - -------------------------------------------------------------------------------- (1) NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Atlas Venture Fund II, L.P. - -------------------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (A) [ ] (B) [ ] - -------------------------------------------------------------------------------- (3) SEC USE ONLY - -------------------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION Delaware Limited Partnership - -------------------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 0 shares SHARES ------------------------------------------------ BENEFICIALLY (6) SHARED VOTING POWER OWNED BY EACH 554,373 shares REPORTING ------------------------------------------------ PERSON WITH (7) SOLE DISPOSITIVE POWER 0 shares ------------------------------------------------ (8) SHARED DISPOSITIVE POWER 554,373 shares - -------------------------------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 554,373 shares - -------------------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.4% - -------------------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* PN - -------------------------------------------------------------------------------- Page 2 of 12 Pages 3 SCHEDULE 13G CUSIP No. 14147M106 PAGE 3 OF 12 PAGES -- -- - -------------------------------------------------------------------------------- (1) NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Atlas Venture Associates II, L.P. - -------------------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (A) [ ] (B) [ ] - -------------------------------------------------------------------------------- (3) SEC USE ONLY - -------------------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION Delaware Limited Partnership - -------------------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 0 shares SHARES ------------------------------------------------ BENEFICIALLY (6) SHARED VOTING POWER OWNED BY EACH 554,373 shares REPORTING ------------------------------------------------ PERSON WITH (7) SOLE DISPOSITIVE POWER 0 shares ------------------------------------------------ (8) SHARED DISPOSITIVE POWER 554,373 shares - -------------------------------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 554,373 shares - -------------------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.4% - -------------------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* PN - -------------------------------------------------------------------------------- Page 3 of 12 Pages 4 SCHEDULE 13G CUSIP No. 14147M106 PAGE 4 OF 12 PAGES -- -- - -------------------------------------------------------------------------------- (1) NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Atlas Venture Europe Fund B.V. - -------------------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (A) [ ] (B) [ ] - -------------------------------------------------------------------------------- (3) SEC USE ONLY - -------------------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION The Netherlands - -------------------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 0 shares SHARES ------------------------------------------------ BENEFICIALLY (6) SHARED VOTING POWER OWNED BY EACH 554,373 shares REPORTING ------------------------------------------------ PERSON WITH (7) SOLE DISPOSITIVE POWER 0 shares ------------------------------------------------ (8) SHARED DISPOSITIVE POWER 554,373 shares - -------------------------------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 554,373 shares - -------------------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.4% - -------------------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- Page 4 of 12 Pages 5 SCHEDULE 13G CUSIP No. 14147M106 PAGE 5 OF 12 PAGES -- -- - -------------------------------------------------------------------------------- (1) NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Atlas InvesteringsGroep N.V. - -------------------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (A) [ ] (B) [ ] - -------------------------------------------------------------------------------- (3) SEC USE ONLY - -------------------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION The Netherlands - -------------------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 0 shares SHARES ------------------------------------------------ BENEFICIALLY (6) SHARED VOTING POWER OWNED BY EACH 554,373 shares REPORTING ------------------------------------------------ PERSON WITH (7) SOLE DISPOSITIVE POWER 0 shares ------------------------------------------------ (8) SHARED DISPOSITIVE POWER 554,373 shares - -------------------------------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 554,373 shares - -------------------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.4% - -------------------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- Page 5 of 12 Pages 6 SCHEDULE 13G Item 1(a). NAME OF ISSUER: Cardima, Inc. Item 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 47266 Benicia Street, Fremont, CA 94538 Item 2(a). NAMES OF PERSONS FILING: Atlas Venture Fund II, L.P., Atlas Venture Associates II, L.P., Atlas Venture Europe Fund B.V. and Atlas InvesteringsGroep N.V. Atlas Venture Associates II, L.P. is the sole general partner of Atlas Venture Fund II, L.P. Atlas InvesteringsGroep N.V. is the sole shareholder of Atlas Venture Europe Fund B.V. Item 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: The address of the principal business office of Atlas Venture Fund II, L.P. and Atlas Venture Associates II, L.P. is Atlas Venture, 222 Berkeley Street, Boston, Massachusetts 02116. The address of the principal business office of Atlas Venture Europe Fund B.V. and Atlas InvesteringsGroep N.V. is Atlas InvesteringsGroep N.V., Naarderpoort 1, 1411 MA Naarden, The Netherlands. Item 2(c). CITIZENSHIP: Atlas Venture Fund II, L.P. and Atlas Venture Associates II, L.P. are each a limited partnership organized under the laws of the State of Delaware. Atlas Venture Europe Fund B.V. and Atlas InvesteringsGroep N.V. are each a corporation organized under the laws of The Netherlands. Item 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, $.001 par value Item 2(e). CUSIP NUMBER: 00014147M106 Item 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A: Not Applicable. Item 4. OWNERSHIP. Not Applicable. Item 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. [x] Each of Atlas Venture Fund II, L.P., Atlas Venture Associates II, L.P., Atlas Venture Europe Fund B.V., and Atlas InvesteringsGroep N.V. may be deemed to own beneficially 554,373 shares of Common Stock as of December 31, 1999, which is five percent or less of the Common Stock of Cardima, Inc. Item 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Page 6 of 12 Pages 7 Not Applicable. Item 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not Applicable. Item 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not Applicable. The reporting persons expressly disclaim membership in a "group" as defined in Rule 13d-1(b)(1)(ii)(J). Item 9. NOTICE OF DISSOLUTION OF GROUP. Not Applicable. Item 10. CERTIFICATIONS. Not Applicable. This statement on Schedule 13G is not filed pursuant to Rule 13d-1(b) or Rule 13d-1(c). Page 7 of 12 Pages 8 SIGNATURES After reasonable inquiry and to the best of our knowledge and belief, we certify that the information set forth in this statement is true, complete and correct. We also hereby agree to file this statement jointly pursuant to the Agreement listed on EXHIBIT 1 hereto. Dated: February 10, 2000 ATLAS VENTURE FUND II, L.P. ATLAS INVESTERINGSGROEP N.V. By: Atlas Venture Associates II, L.P. By: * ----------------------------------- Hans Bosman, Managing Director By: * ----------------------------------- Christopher J. Spray, General Partner ATLAS VENTURE EUROPE FUND B.V. ATLAS VENTURE ASSOCIATES II, L.P. By: Atlas InvesteringsGroep N.V. By: * By: * ----------------------------------- ----------------------------------- Christopher J. Spray, Hans Bosman, General Partner Managing Director * The undersigned attorney-in-fact, by signing her name below, does hereby sign this statement on behalf of the above indicated filers pursuant to Powers of Attorney filed hereto as EXHIBIT 2. /s/ Jeanne Larkin Henry ---------------------------------- Jeanne Larkin Henry Attorney-in-fact Page 8 of 12 Pages 9 EXHIBIT 1 AGREEMENT Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, the undersigned hereby agree that only one statement containing the information required by Schedule 13G need be filed with respect to the ownership by each of the undersigned of shares of Common Stock of ILOG S.A. This agreement may be executed in any number of counterparts, each of which shall be deemed an original. EXECUTED this 10th day of February, 2000. ATLAS VENTURE FUND II, L.P. ATLAS INVESTERINGSGROEP N.V. By: Atlas Venture Associates II, L.P. By: * ----------------------------------- Hans Bosman, Managing Director By: * ----------------------------------- Christopher J. Spray, General Partner ATLAS VENTURE EUROPE FUND B.V. ATLAS VENTURE ASSOCIATES II, L.P. By: Atlas InvesteringsGroep N.V. By: * By: * ----------------------------------- ----------------------------------- Christopher J. Spray, Hans Bosman, General Partner Managing Director * The undersigned attorney-in-fact, by signing her name below, does hereby sign this statement on behalf of the above indicated filers pursuant to Powers of Attorney filed hereto as EXHIBIT 2. /s/ Jeanne Larkin Henry -------------------------------- Jeanne Larkin Henry Attorney-in-fact Page 9 of 12 Pages 10 EXHIBIT 2 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints each and any of Christopher J. Spray and Jeanne Larkin Henry his true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution, for him and in his name, place and stead, in any and all capacities (until revoked in writing) to sign any and all instruments, certificates and documents required to be executed on behalf of himself individually or on behalf of each or any of Atlas Venture Fund, L.P., Atlas Venture Associates, L.P., Atlas Venture Partners III, B.V., Atlas Venture Fund II, L.P., Atlas Venture Associates II, L.P., Atlas Venture Europe Fund B.V., Atlas InvesteringsGroep N.V., and Atlas Venture Beheer II B.V. pursuant to sections 13 and 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and any and all regulations promulgated thereunder, and to file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Exchange Act or by the By-laws of the National Association of Securities Dealers, granting unto said attorney-in-fact and agent full power and authority to do and perform each and every act and thing requisite and necessary fully to all intents and purposes as he might or could do in person thereby ratifying and confirming all that said attorney-in-fact and agent, or his substitute or substitutes, may lawfully do or cause to be done by virtue hereof. [REMAINDER OF PAGE LEFT BLANK INTENTIONALLY] [SIGNATURE PAGE FOLLOWS IMMEDIATELY] Page 10 of 12 Pages 11 IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 31st day of January, 1997. /s/ Christopher J. Spray --------------------------------- Christopher J. Spray Commonwealth of Massachusetts) ) ss: County of Suffolk ) On this 31st day of January, 1997, before me personally came Christopher J. Spray, known to me to be the person described and who executed the foregoing instrument that he acknowledged that he executed the same. [Notary Seal] /s/ Elizabeth A. LeBlanc --------------------------------- Notary Public My commission expires: July 3, 1998 Page 11 of 12 Pages 12 IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 7th day of February, 2000. /s/ Hans Bosman --------------------------------- Hans Bosman Commonwealth of Massachusetts) ) ss: County of Suffolk ) On this 7th day of February, 2000, before me personally came Hans Bosman, known to me to be the person described and who executed the foregoing instrument that he acknowledged that he executed the same. [Notary Seal] /s/ Ann M. Grummitt --------------------------------- Notary Public My commission expires: November 6, 2003 Page 12 of 12 Pages -----END PRIVACY-ENHANCED MESSAGE-----