-----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, FTDADMc9OmLPkExLVbzVdbbPAqlaEdenm4OXb+VgFRhE8eCZHBJ0MTpsgChWA0fq ao2raHMC+zEnXctfyHUCEQ== 0000892569-02-000332.txt : 20020414 0000892569-02-000332.hdr.sgml : 20020414 ACCESSION NUMBER: 0000892569-02-000332 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20020214 GROUP MEMBERS: BRENTWOOD AFFILIATES FUND II, L.P. GROUP MEMBERS: BRENTWOOD VIII VENTURES LLC SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: THERASENSE INC CENTRAL INDEX KEY: 0001073695 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 943267373 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-62093 FILM NUMBER: 02548287 BUSINESS ADDRESS: STREET 1: 1360 S LOOP RD STREET 2: SUITE 2000 CITY: SAN FRANCISCO STATE: CA ZIP: 94502 BUSINESS PHONE: 5107495400 MAIL ADDRESS: STREET 1: 1360 S LOOP RD CITY: SAN FRANCISCO STATE: CA ZIP: 94502 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BRENTWOOD ASSOCIATES VIII LP CENTRAL INDEX KEY: 0001047856 IRS NUMBER: 954654108 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 11150 SANTA MONICA BLVD STREET 2: SUITE 1200 CITY: LOS ANGELES STATE: CA ZIP: 90025 BUSINESS PHONE: 3104777678 MAIL ADDRESS: STREET 1: 11150 SANTA MONICA BLVD STREET 2: STE 1200 CITY: LOS ANGELES STATE: CA ZIP: 90025 SC 13G 1 a79258sc13g.txt SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934* THERASENSE, INC. - -------------------------------------------------------------------------------- (NAME OF ISSUER) COMMON STOCK - -------------------------------------------------------------------------------- (TITLE OF CLASS OF SECURITIES) 883381 10 5 - -------------------------------------------------------------------------------- (CUSIP NUMBER) DECEMBER 31, 2001 - -------------------------------------------------------------------------------- (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). - --------------------- CUSIP NO. 883381 10 5 13G - --------------------- - ------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Brentwood Associates VIII, 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 - ------------------------------------------------------------------------------- 5. SOLE VOTING POWER NUMBER OF 3,495,247 shares of common stock(1) SHARES -------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY N/A EACH -------------------------------------------------------- REPORTING 7. SOLE DISPOSITIVE POWER PERSON WITH 3,495,247 shares of common stock(1) -------------------------------------------------------- 8. SHARED DISPOSITIVE POWER N/A - ------------------------------------------------------------------------------- 2 - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,495,247 shares of common stock(1) - ------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A - ------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.9% of shares of outstanding common stock(1) - ------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON PN - ------------------------------------------------------------------------------- - -------------- (1) Brentwood Associates VIII, L.P. holds directly 3,495,247 shares of common stock of the Issuer. Brentwood VIII Ventures LLC is the general partner of Brentwood Associates VIII, L.P. * SEE INSTRUCTIONS BEFORE FILLING OUT! 3 - --------------------- CUSIP NO. 883381 10 5 13G - --------------------- - ------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Brentwood Affiliates 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 - ------------------------------------------------------------------------------- 5. SOLE VOTING POWER NUMBER OF 145,636 shares of common stock(2) SHARES -------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY N/A EACH -------------------------------------------------------- REPORTING 7. SOLE DISPOSITIVE POWER PERSON WITH 145,636 shares of common stock(2) -------------------------------------------------------- 8. SHARED DISPOSITIVE POWER N/A - ------------------------------------------------------------------------------- 4 - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 145,636 shares of common stock(2) - ------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A - ------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0.4% of shares of outstanding common stock(2) - ------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON PN - ------------------------------------------------------------------------------- - -------------- (2) Brentwood Affiliates Fund II, L.P. holds directly 145,636 shares of common stock of the Issuer. Brentwood VIII Ventures LLC is the general partner of Brentwood Affiliates Fund II, L.P. * SEE INSTRUCTIONS BEFORE FILLING OUT! 5 - --------------------- CUSIP NO. 883381 10 5 13G - --------------------- - ------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Brentwood VIII Ventures LLC - ------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [ ] - ------------------------------------------------------------------------------- 3. SEC USE ONLY - ------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Delaware - ------------------------------------------------------------------------------- 5. SOLE VOTING POWER NUMBER OF 3,640,883 shares of common stock(3) SHARES -------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY N/A EACH -------------------------------------------------------- REPORTING 7. SOLE DISPOSITIVE POWER PERSON WITH 3,640,883 shares of common stock(3) -------------------------------------------------------- 8. SHARED DISPOSITIVE POWER N/A - ------------------------------------------------------------------------------- 6 - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,640,883 shares of common stock(3) - ------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A - ------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.2% of shares of outstanding common stock(3) - ------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON 00 - ------------------------------------------------------------------------------- - ------------- (3) Brentwood VIII Ventures LLC is the general partner of Brentwood Associates VIII, L.P., which holds directly 3,495,247 shares of common stock of the Issuer. Brentwood VIII Ventures LLC is also the general partner of Brentwood Affiliates Fund II, L.P., which holds directly 145,636 shares of common stock of the Issuer. * SEE INSTRUCTIONS BEFORE FILLING OUT! 7 ITEM 1(a) NAME OF ISSUER: TheraSense, Inc. ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 1360 South Loop Road, Alameda, CA 94502 ITEM 2(a) NAME OF PERSONS FILING: Brentwood Associates VIII, L.P. Brentwood Affiliates Fund II, L.P. Brentwood VIII Ventures LLC The statement on this Schedule 13G is filed on behalf of the persons listed above pursuant to Rule 13d-1(k)(1). The Joint Filing Agreement dated February 12, 2002 among the Reporting Persons is set forth in Exhibit I hereto and is incorporated herein by reference. ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 11150 Santa Monica Blvd., Suite 1200, Los Angeles, CA 90025 ITEM 2(c) CITIZENSHIP: Delaware ITEM 2(d) TITLE OF CLASS OF SECURITIES: Common Stock ITEM 2(e) CUSIP NUMBER: 883381 10 5 ITEM 3 IF THIS STATEMENT IS FILED PURSUANT TO RULES 13D-1(b), OR 13D-2(b), CHECK WHETHER THE PERSON FILING IS A: N/A ITEM 4 OWNERSHIP: (a) Amount Beneficially Owned: Brentwood Associates VIII, L.P.: 3,495,247 (see cover page) Brentwood Affiliates Fund II, L.P.: 145,636 (see cover page) Brentwood VIII Ventures LLC: 3,640,883 (see cover page) 8 (b) Percent of Class: Brentwood Associates VIII, L.P.: 8.9% (see cover page) Brentwood Affiliates Fund II, L.P.: 0.4% (see cover page) Brentwood VIII Ventures LLC: 9.2% (see cover page) (c) Number of Shares as to which such person has: (i) sole power to vote or to direct the vote: Brentwood Associates VIII, L.P.: 3,495,247 (see cover page) Brentwood Affiliates Fund II, L.P.: 145,636 (see cover page) Brentwood VIII Ventures LLC: 3,640,883 (see cover page) (ii) shared power to vote or direct the vote: N/A (iii) sole power to dispose or to direct the disposition of: Brentwood Associates VIII, L.P.: 3,495,247 (see cover page) Brentwood Affiliates Fund II, L.P.: 145,636 (see cover page) Brentwood VIII Ventures LLC: 3,640,883 (see cover page) (iv) shared power to dispose or to direct the disposition of: N/A ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: N/A ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: The general partner of both Brentwood Associates VIII, L.P. and Brentwood Affiliates Fund II, L.P. is Brentwood VIII Ventures LLC, a Delaware limited partnership, which may be deemed to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, the shares of Common Stock owned by Brentwood Associates VIII, L.P. and Brentwood Affiliates Fund II, L.P. Information contained in this Schedule 13G is provided solely for the purpose of complying with Section 13(d) and Section 13(g) of the Securities Exchange Act of 1934, as amended. Brentwood VIII Ventures LLC disclaims beneficial ownership of the securities described herein for any other purpose. 9 ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY: N/A ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: N/A ITEM 9 NOTICE OF DISSOLUTION OF GROUP: N/A ITEM 10 CERTIFICATION: N/A 10 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete, and correct. DATE: February 12, 2002 BRENTWOOD ASSOCIATES VIII, L.P., a Delaware limited partnership By: Brentwood VIII Ventures LLC, a Delaware limited partnership Its: General Partner By: /s/ G. Bradford Jones --------------------------------- G. Bradford Jones General Partner BRENTWOOD AFFILIATES FUND II, L.P., a Delaware limited partnership By: Brentwood VIII Ventures LLC, a Delaware limited partnership Its: General Partner By: /s/ G. Bradford Jones --------------------------------- G. Bradford Jones General Partner BRENTWOOD VIII VENTURES LLC, a Delaware limited partnership By: /s/ G. Bradford Jones -------------------------------------- G. Bradford Jones General Partner 11 EX-99.1 3 a79258ex99-1.txt EXHIBIT 99.1 EXHIBIT I JOINT FILING AGREEMENT Each of the undersigned hereby agrees that the Schedule 13G filed herewith is filed jointly on behalf of each of them pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, as amended. SIGNATURE After reasonable inquiry and to the best of the undersigned's knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete, and correct. DATE: February 12, 2002 BRENTWOOD ASSOCIATES VIII, L.P., a Delaware limited partnership By: Brentwood VIII Ventures LLC, a Delaware limited partnership Its: General Partner By: /s/ G. Bradford Jones --------------------------- G. Bradford Jones General Partner BRENTWOOD AFFILIATES FUND II, L.P., a Delaware limited partnership By: Brentwood VIII Ventures LLC, a Delaware limited partnership Its: General Partner By: /s/ G. Bradford Jones --------------------------- G. Bradford Jones General Partner 12 BRENTWOOD VIII VENTURES LLC, a Delaware limited partnership By: /s/ G. Bradford Jones ------------------------------ G. Bradford Jones General Partner 13 -----END PRIVACY-ENHANCED MESSAGE-----