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.