1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, STE 1603 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/31/2008
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3. Issuer Name and Ticker or Trading Symbol
WORLD HEART CORP
[ WHRT ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, STE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, STE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
TIMES SQUARE TOWER |
7 TIMES SQUARE, SUITE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, SUITE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, SUITE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE PARTNERS |
2500 SAND HILL RD., SUITE 203 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE PARTNERS |
2500 SAND HILL RD., SUITE 203 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O NEW LEAF VENTURE MGMT II, L.L.C. |
TIMES SQUARE TWR, 7 TIMES SQ, SUITE 1603 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
/s/ Craig L. Slutzkin, Chief Financial Officer of New Leaf Venture Management II, L.L.C., the sole general partner of New Leaf Venture Associates II, L.P., the sole general partner of New Leaf Ventures II, L.P. |
08/06/2008 |
|
/s/ Craig L. Slutzkin, Chief Financial Officer of New Leaf Venture Management II, L.L.C., the sole general partner of New Leaf Venture Associates II, L.P. |
08/06/2008 |
|
/s/ Craig L. Slutzkin, Chief Financial Officer of New Leaf Venture Management II, L.L.C. |
08/06/2008 |
|
/s/ Craig L. Slutzkin, as Attorney-in-Fact for Philippe O. Chambon |
08/06/2008 |
|
/s/ Craig L. Slutzkin, as Attorney-in-Fact for James Niedel |
08/06/2008 |
|
/s/ Craig L. Slutzkin, as Attorney-in-Fact for Vijay Lathi |
08/06/2008 |
|
/s/ Craig L. Slutzkin, as Attorney-in-Fact for Kathleen LaPorte |
08/06/2008 |
|
/s/ Craig L. Slutzkin, as Attorney-in-Fact for Ronald Hunt |
08/06/2008 |
|
** 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. |