FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/04/2006 |
3. Issuer Name and Ticker or Trading Symbol
VISICU INC [ EICU ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 60,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Convertible Preferred Stock | (1) | (2) | Common Stock | 2,919,708 | (3) | I | See Footnote(4) |
Series C Convertible Preferred Stock | (1) | (2) | Common Stock | 783,908 | (3) | I | See Footnote(4) |
Explanation of Responses: |
1. Immediately following the closing of the intitial public offering of the Issuer's Common Stock, all outstanding shares of Series B Convertible Preferred Stock and Series C Convertible Preferred Stock will be automatically converted into shares of the Issuer's Commmon Stock. |
2. Not Applicable. |
3. One share of Preferred Stock (including any of Series B Convertible Preferred Stock and Series C Convertible Preferred Stock) is convertible into one share of the Issuer's Common Stock. |
4. Sterling Venture Partners, L.P. is the record holder of the securities. The Reporting Person is a Director of the Issuer and a managing member of Sterling Venture Partners, L.L.C., the general partner of Sterling Venture Partners, L.P. In his capacity as a managing member of Sterling Venture Partners, L.L.C., the Reporting Person may be deemed to be a beneficial owner of the securities. The Reporting person expressly disclaims beneficial ownerhsip of the securities, except to the extent of his or its pecuniary interest therein, if any. |
Remarks: |
/s/ Gary Sindler, Attorney-in-fact | 04/04/2006 | |
** 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. |