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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
MAXYGEN INC [ MAXY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/07/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 07/31/2003 | G | V | 50,000 | D | $0(1) | 497,386(2) | I | By Trust(3) | |
Common Stock | 1,396,531(4) | I | By Technogen(5) | |||||||
Common Stock | 6,780(6) | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Director Stock Option (right to buy) | $10.69 | 10/07/2003 | A | 5,000 | 10/07/2003(7) | 10/06/2013 | Common Stock | 5,000 | $0 | 5,000 | D |
Explanation of Responses: |
1. The shares had no disposition price as they were a gift. |
2. Includes (i) 5,632 shares of Maxygen common stock received as a pro rata distribution from Technogen Associates L.P., (ii) 51,058 shares received as a pro rata distribution from Technogen Managers, L.L.C., which received the shares as a result of a pro rata distribution from Technogen Associates, L.P. and (iii) 3,964 shares received as a pro rata distribution from Stein Partners, which received the shares as a result of a pro rata distribution from Technogen Associates, L.P. In prior reports Mr. Stein reported beneficial ownership of all shares held by Technogen Associates L.P. |
3. Stein 1995 Revocable Trust |
4. Excludes 628,241 shares of Maxygen common stock distributed by Technogen Associates L.P. since the date of Mr. Stein's last report. |
5. Consists of 1,333,333 shares of Maxygen common stock held by Technogen Associates, L.P. and 63,198 shares held by Technogen Enterprises, L.L.C. Technogen Managers, L.L.C. is the general partner of Technogen Associates , L.P. Mr. Stein is a Managing Member of Technogen Enterprises, L.L.C. and Technogen Managers, L.L.C. and disclaims beneficial ownership of these shares except to the extent of his pecuniary interest in the limited liability companies. |
6. Includes 865 shares of Maxygen common stock received as a pro rata distribution from Technogen Managers, L.L.C., which received the shares as a result of a pro rata distribution from Technogen Associates, L.P. In prior reports Mr. Stein reported beneficial ownership of all shares held by Technogen Associates L.P. |
7. Shares issued under the option are subject to a right of repurchase by Maxygen, Inc. that lapses on October 6, 2004. |
Remarks: |
Isaac Stein | 10/07/2003 | |
** 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 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). | ||
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. |