0000904454-05-000049.txt : 20120629
0000904454-05-000049.hdr.sgml : 20120629
20050120161852
ACCESSION NUMBER: 0000904454-05-000049
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050120
DATE AS OF CHANGE: 20050120
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: DOMAIN PARTNERS IV LP
CENTRAL INDEX KEY: 0001077714
FILING VALUES:
FORM TYPE: SC 13G
BUSINESS ADDRESS:
STREET 1: ONE PALMER SQ
CITY: PRINCETON
STATE: NJ
ZIP: 08542
MAIL ADDRESS:
STREET 1: ONE PALMER SQ
CITY: PRINCETON
STATE: NJ
ZIP: 08542
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: INTRALASE CORP
CENTRAL INDEX KEY: 0001163848
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 000000000
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-80287
FILM NUMBER: 05539009
BUSINESS ADDRESS:
STREET 1: 3 MORGAN
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-859-5230
SC 13G
1
s13g_0120-05intralase.txt
SCHEDULE 13G
CUSIP No. 461169 10 4 Page 1 of 9 Pages
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
---------------------
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILES PURSUANT
TO RULES 13d-1(b),(c) AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2(b)
(Amendment No. )1
IntraLase Corp.
-------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, $.01 par value
-------------------------------------------------------------------------------
(Title of Class of Securities)
461169 10 4
-------------------------------------------------------------------------------
October 6, 2004
-------------------------------------------------------------------------------
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)
-----------------------
1The 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 disclosures provided in a prior cover page. The information required on
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 or otherwise
subject to the liabilities of that section of the Act but shall be subject to
all other provisions of the Act.
CUSIP No. 461169 10 4 Page 2 of 9 Pages
1) Name of Reporting Person Domain Partners
I.R.S. Identification IV, L.P.
No. of Above Person
(Entities Only)
-------------------------------------------------------------------------------
2) Check the Appropriate Box (a) [X]
if a Member of a Group (b) [ ]
-------------------------------------------------------------------------------
3) SEC Use Only
-------------------------------------------------------------------------------
4) Citizenship or Place Delaware
of Organization
-------------------------------------------------------------------------------
Number of 5) Sole Voting 2,011,938 shares
Shares Beneficially Power of Common Stock
Owned by Each
Reporting Person
With
-------------------------------------------------
6) Shared Voting
Power -0-
-------------------------------------------------
7) Sole Disposi- 2,011,938 shares
tive Power of Common Stock
-------------------------------------------------
8) Shared Dis-
positive Power -0-
-------------------------------------------------
9) Aggregate Amount Beneficially 2,011,938 shares
Owned by Each Reporting person of Common Stock
-------------------------------------------------------------------------------
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
-------------------------------------------------------------------------------
11) Percent of Class
Represented by 7.5%
Amount in Row (9)
-------------------------------------------------------------------------------
12) Type of Reporting
Person PN
CUSIP No. 461169 10 4 Page 3 of 9 Pages
1) Name of Reporting Person DP IV Associates,
I.R.S. Identification L.P.
No. of Above Person
(Entities Only)
-------------------------------------------------------------------------------
2) Check the Appropriate Box (a) [X]
if a Member of a Group (b) [ ]
-------------------------------------------------------------------------------
3) SEC Use Only
-------------------------------------------------------------------------------
4) Citizenship or Place Delaware
of Organization
-------------------------------------------------------------------------------
Number of 5) Sole Voting 24,238 shares
Shares Beneficially Power of Common Stock
Owned by Each
Reporting Person
With
-------------------------------------------------
6) Shared Voting
Power -0-
-------------------------------------------------
7) Sole Disposi- 24,238 shares
tive Power of Common Stock
-------------------------------------------------
8) Shared Dis-
positive Power -0-
-------------------------------------------------
9) Aggregate Amount Beneficially 24,238 shares
Owned by Each Reporting person of Common Stock
-------------------------------------------------------------------------------
10) Check if the Aggregate
Amount in Row (9)
Excludes Certain Shares
-------------------------------------------------------------------------------
11) Percent of Class
Represented by 0.1%
Amount in Row (9)
-------------------------------------------------------------------------------
12) Type of Reporting
Person PN
CUSIP No. 461169 10 4 Page 4 of 9 Pages
Schedule 13G
------------
Item 1(a) - Name of Issuer: IntraLase Corp.
Item 1(b) - Address of Issuer's Principal Executive Offices:
3 Morgan
Irvine, CA 92618
Item 2(a) - Name of Person Filing:
This statement is being filed by Domain Partners IV, L.P., a
Delaware limited partnership ("Domain IV"), and DP IV
Associates, L.P., a Delaware limited partnership ("DP IV A")
(together, the "Reporting Persons").
Item 2(b) - Address of Principal Business Office:
One Palmer Square
Princeton, NJ 08542
Item 2(c) - Place of Organization:
Domain IV: Delaware
DP IV A: Delaware
Item 2(d) - Title of Class of Securities:
Common Stock, $.01 par value
Item 2(e) - CUSIP Number: 461169 10 4
Item 3 - Statements Filed Pursuant to Rules 13d-1(b) or 13d-2(b):
Not applicable.
CUSIP No. 461169 10 4 Page 5 of 9 Pages
Item 4 - Ownership.
(a) Amount Beneficially Owned:
Domain IV: 2,011,938 shares of Common Stock
DP IV A: 24,238 shares of Common Stock
(b) Percent of Class:
Domain IV: 7.5%
DP IV A: 0.1%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
Domain IV: 2,011,938 shares of Common Stock
DP IV A: 24,238 shares of Common Stock
(ii) shared power to vote or to direct the vote: -0-
(iii) sole power to dispose or to direct the disposition of:
Domain IV: 2,011,938 shares of Common Stock
DP IV A: 24,238 shares of Common Stock
(iv) shared power to dispose or to direct the disposition of:
-0-
Item 5 - Ownership of Five Percent or Less of a Class:
Not applicable.
Item 6 - Ownership of More than Five Percent on Behalf of Another
Person:
Not applicable.
Item 7 - Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on by the Parent
Company:
Not applicable.
Item 8 - Identification and Classification of Members of the Group:
See Exhibit 2.
CUSIP No. 461169 10 4 Page 6 of 9 Pages
Item 9 - Notice of Dissolution of Group:
Not applicable.
Item 10 - Certification:
Not applicable.
CUSIP No. 461169 10 4 Page 7 of 9 Pages
Signature:
After reasonable inquiry and to the best of their knowledge and
belief, the undersigned certify that the information set forth in this statement
is true, complete and correct.
DOMAIN PARTNERS IV, L.P.
By: One Palmer Square Associates
IV, L.L.C., General Partner
By /s/ Kathleen K. Schoemaker
--------------------------
Managing Member
DP IV ASSOCIATES, L.P.
By: One Palmer Square Associates
IV, L.L.C., General Partner
By /s/ Kathleen K. Schoemaker
--------------------------
Managing Member
Date: January 19, 2005
CUSIP No. 461169 10 4 Page 8 of 9 Pages
EXHIBIT 1
AGREEMENT OF
DOMAIN PARTNERS IV, L.P.
AND
DP IV ASSOCIATES, L.P.
PURSUANT TO RULE 13d-1(f)
-------------------------
The undersigned hereby agree that the Information Statement on
Schedule 13G to which this Agreement is annexed as Exhibit 1 is filed on behalf
of each of them in accordance with provisions of 13d-1(f) under the Securities
Exchange Act of 1934, as amended.
DOMAIN PARTNERS IV, L.P.
By: One Palmer Square Associates
IV, L.L.C., General Partner
By /s/ Kathleen K. Schoemaker
--------------------------
Managing Member
DP IV ASSOCIATES, L.P.
By: One Palmer Square Associates
IV, L.L.C., General Partner
By /s/ Kathleen K. Schoemaker
--------------------------
Managing Member
Date: January 19, 2005
CUSIP No. 461169 10 4 Page 9 of 9 Pages
EXHIBIT 2
Identification and Classification
of Members of the Group
---------------------------------
Domain Partners IV, L.P. and DP IV Associates, L.P. are filing this
statement on Schedule 13G as a group.
Domain Partners IV, L.P. is a Delaware limited partnership. Its sole
general partner is One Palmer Square Associates IV, L.L.C., a Delaware limited
liability company.
DP IV Associates, L.P. is a Delaware limited partnership. Its sole
general partner is One Palmer Square Associates IV, L.L.C., a Delaware limited
liability company.