-----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, LziC3ryUzdMz0e+eOrkQp9LZIG3Rvrl+Tyhe8ChptYLAkA7S6jLWXyyZ+U1i2cRb j3dtEM6X8KKcleZI82+6hw== 0001193125-05-029285.txt : 20050214 0001193125-05-029285.hdr.sgml : 20050214 20050214162919 ACCESSION NUMBER: 0001193125-05-029285 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 GROUP MEMBERS: RITA LYNN SIMPSON GROUP MEMBERS: TRUSTEES OF THE SIMPSON FAMILY TRUST SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FOXHOLLOW TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001217688 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 943252085 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-80438 FILM NUMBER: 05610929 BUSINESS ADDRESS: STREET 1: 740 BAY ROAD CITY: REDWOOD CITY STATE: CA ZIP: 94063-2469 BUSINESS PHONE: 650-421-8400 MAIL ADDRESS: STREET 1: 740 BAY ROAD CITY: REDWOOD CITY STATE: CA ZIP: 94063-2469 FORMER COMPANY: FORMER CONFORMED NAME: FOX HOLLOW TECHNOLOGIES INC DATE OF NAME CHANGE: 20030206 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIMPSON JOHN B PH D MD CENTRAL INDEX KEY: 0001007708 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 309 MANUELLA ROAD CITY: WOODSIDE STATE: CA ZIP: 95062 BUSINESS PHONE: 4158519470 MAIL ADDRESS: STREET 1: 309 MANUELLLA ROAD CITY: WOODSIDE STATE: CA ZIP: 95063 SC 13G 1 dsc13g.htm SCHEDULE 13G Schedule 13G

OMB APPROVAL

OMB Number:

   3235-0145

Expires:

   December 31, 2005

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934

(Amendment No.         )*

 

 

 

 

 

FoxHollow Technologies, Inc.

(Name of Issuer)

 

 

Common Stock

(Title of Class of Securities)

 

 

35166A 10 3

                                (CUSIP Number)                                

 

 

December 31, 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)

 

 

*   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).

 

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 control number.

 

SEC 1745 (12-02)   Page 1 of 8 pages  

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CUSIP No. 35166A 10 3

 

  1.  

Names of Reporting Persons.

I.R.S. Identification Nos. of above persons (entities only).

 

John B. Simpson

   
  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ¨

(b)  ¨

   
  3.  

SEC Use Only

 

   
  4.  

Citizenship or Place of Organization

 

United States of America

   

Number of

Shares

Beneficially

Owned by Each

Reporting

Person

With:

 

  5.    Sole Voting Power

 

        500,000(1)


  6.    Shared Voting Power

 

        7,913,770(2)


  7.    Sole Dispositive Power

 

        500,000(1)


  8.    Shared Dispositive Power

 

        7,913,770(2)

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

8,413,770(1)(2)

   
10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

¨

   
11.  

Percent of Class Represented by Amount in Row (9)

 

36.6%

   
12.  

Type of Reporting Person (See Instructions)

 

IN

   

 

(1) Includes 250,000 shares held by the John Bush Simpson, Trustee of the John Bush Simpson Annuity Trust dated October 20, 2004 and 250,000 shares held by the John Bush Simpson, Trustee of the Rita Lynn Simpson Annuity Trust dated October 20, 2004, both of which Dr. Simpson serves as the sole trustee. Dr. Simpson disclaims beneficial ownership of the aforementioned shares except to the extent of his individual pecuniary interest therein.

 

(2) Includes 5,015,488 shares held by the John Bush Simpson & Rita Lynn Simpson, Trustees of the Simpson Family Trust U/D/T Dated 1/12/90 (the “Simpson Family Trust”), of which Dr. Simpson serves as a co-trustee, 204,733 shares held by Fox Hollow, a California Limited Partnership of which Dr. Simpson serves as a co-general partner, 56,546 shares held by Dr. Simpson’s spouse, 1,753,583 shares held by De Novo (Q) Ventures I, L.P. and 346,993 shares held by De Novo Ventures I, L.P. Dr. Simpson is a one of five managing directors of De Novo Management, L.L.C., the sole general partner of De Novo (Q) Ventures I, L.P. and De Novo Ventures I, L.P. The managing directors share voting and dispositive power with regard to shares held by De Novo Ventures I, L.P. and De Novo (Q) Ventures I, L.P. Also includes 536,427 shares held by the John David Simpson Trust II, a trust for the benefit of Dr. Simpson’s son, of which Dr. Simpson serves as a trustee. Dr. Simpson disclaims beneficial ownership of the aforementioned shares except to the extent of his individual pecuniary interest therein.

 

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CUSIP No. 35166A 10 3

 

  1.  

Names of Reporting Persons.

I.R.S. Identification Nos. of above persons (entities only).

 

John Bush Simpson & Rita Lynn Simpson, Trustees of the Simpson Family Trust U/D/T Dated 1/12/90 (the “Simpson Family Trust”)

   
  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ¨

(b)  ¨

   
  3.  

SEC Use Only

 

   
  4.  

Citizenship or Place of Organization

 

California

   

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With:

 

  5.    Sole Voting Power

 

        5,015,488


  6.    Shared Voting Power

 

        0


  7.    Sole Dispositive Power

 

        5,015,488


  8.    Shared Dispositive Power

 

        0

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

5,015,488

   
10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

¨

   
11.  

Percent of Class Represented by Amount in Row (9)

 

21.8%

   
12.  

Type of Reporting Person (See Instructions)

 

OO

   

 

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CUSIP No. 35166A 10 3

 

  1.  

Names of Reporting Persons.

I.R.S. Identification Nos. of above persons (entities only).

 

Rita Lynn Simpson

   
  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ¨

(b)  ¨

   
  3.  

SEC Use Only

 

   
  4.  

Citizenship or Place of Organization

 

United States of America

   

Number of

Shares

Beneficially

Owned by

Each

Reporting

Person

With:

 

  5.    Sole Voting Power

 

        0


  6.    Shared Voting Power

 

        5,813,194(3)


  7.    Sole Dispositive Power

 

        0


  8.    Shared Dispositive Power

 

        5,813,194(3)

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

5,813,194(3)

   
10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

¨

   
11.  

Percent of Class Represented by Amount in Row (9)

 

25.3%

   
12.  

Type of Reporting Person (See Instructions)

 

IN

   

 

(3) Includes 56,546 shares personally held by Ms. Simpson, 5,015,488 shares held by the Simpson Family Trust, of which Ms. Simpson serves as a co-trustee, 204,733 shares held by Fox Hollow, a California Limited Partnership of which Ms. Simpson serves as a co-general partner, and 536,427 shares held by the John David Simpson Trust II, a trust for the benefit of Ms. Simpson’s son, of which Ms. Simpson serves as a trustee. Ms. Simpson disclaims beneficial ownership of the aforementioned shares except to the extent of her individual pecuniary interest therein.

 

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Item 1. (a)

   Name of Issuer FoxHollow Technologies, Inc.          

(b)

   Address of Issuer’s Principal Executive Offices          
     740 Bay Road, Redwood City, California, 94063-2469          

Item 2. (a)

   Name of Person Filing          
     John B. Simpson          
     The Simpson Family Trust          
     Rita Lynn Simpson          

(b)

  

Address of Principal Business Office or, if none, Residence

c/o FoxHollow Technologies, Inc.

740 Bay Road, Redwood City, California, 94063-2469

         

(c)

   Citizenship          
     John B. Simpson                                United States of America          
    

The Simpson Family Trust                California

Rita Lynn Simpson                            United States of America

         

(d)

   Title of Class of Securities          
    

Common Stock

         

Item 3.    

   If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:     
     (a)    ¨    Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).          
     (b)    ¨    Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).          
     (c)    ¨    Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).          
     (d)    ¨    Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).          
     (e)    ¨    An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);          
     (f)    ¨    An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);          
     (g)    ¨    A parent holding company or control person in accordance with §240.13d-1(b)1(ii)(G);          
     (h)    ¨    A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813));          
     (i)    ¨    A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);          
     (j)    ¨    Group, in accordance with §240.13d-1(b)(1)(ii)(J).          

Item 4

   Ownership:          

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

     (a)    Amount beneficially owned:          
         

John B. Simpson                                8,413,770(1)(2)

The Simpson Family Trust                5,015,488

Rita Lynn Simpson                            5,813,194(3)

         

 

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     (b)    Percent of class:          
         

John B. Simpson                                36.6%

The Simpson Family Trust                21.8%

Rita Lynn Simpson                            25.3%

         
     (c)    Number of shares as to which such person has:          
          (i)    Sole power to vote or to direct the vote:          
         

John B. Simpson                                   500,000(1)

The Simpson Family Trust                5,015,488

Rita Lynn Simpson                                           0

         
          (ii)    Shared power to vote or to direct the vote:          
         

John B. Simpson                                7,913,770(2)

The Simpson Family Trust                              0

Rita Lynn Simpson                            5,813,194(3)

         
          (iii)    Sole power to dispose or to direct the disposition of:          
         

John B. Simpson                                 500,000(1)

The Simpson Family Trust              5,015,488

Rita Lynn Simpson                                         0

         
          (iv)    Shared power to dispose or to direct the disposition of:          
         

John B. Simpson                                7,913,770(2)

The Simpson Family Trust                              0

Rita Lynn Simpson                            5,813,194(3)

         
Instruction. For computations regarding securities which represent a right to acquire an underlying security, see §240.13d-3(d)(1).          

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 Holding Company
    

Not applicable.

         

Item 8.

   Identification and Classification of Members of the Group          
     Not applicable.          

Item 9.

   Notice of Dissolution of Group          
     Not applicable.          

Item 10.

   Certification          
     Not applicable.          

 

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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 14, 2005

 

JOHN B. SIMPSON

/s/ John B. Simpson

JOHN BUSH SIMPSON & RITA LYNN SIMPSON, TRUSTEES OF THE SIMPSON FAMILY TRUST U/D/T DATED 1/12/90
/s/ John B. Simpson
Trustee
/s/ Rita Lynn Simpson
Trustee
RITA LYNN SIMPSON

/s/ Rita Lynn Simpson

 

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Exhibit A

 

JOINT FILING AGREEMENT

 

In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, the persons named below agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including amendments thereto) with respect to the Common Stock of FoxHollow Technologies, Inc. and further agree that this Joint Filing Agreement be included as an exhibit to such Schedule 13G. In evidence thereof, the undersigned hereby execute this Agreement as of February 14, 2005.

 

JOHN B. SIMPSON

/s/ John B. Simpson

JOHN BUSH SIMPSON & RITA LYNN SIMPSON, TRUSTEES OF THE SIMPSON FAMILY TRUST U/D/T DATED 1/12/90
/s/ John B. Simpson
Trustee
/s/ Rita Lynn Simpson
Trustee
RITA LYNN SIMPSON

/s/ Rita Lynn Simpson

 

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