0001181431-13-043632.txt : 20130808
0001181431-13-043632.hdr.sgml : 20130808
20130808150701
ACCESSION NUMBER: 0001181431-13-043632
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130808
FILED AS OF DATE: 20130808
DATE AS OF CHANGE: 20130808
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Zeltiq Aesthetics Inc
CENTRAL INDEX KEY: 0001415336
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 4698 Willow Road
STREET 2: Suite 100
CITY: Pleasanton
STATE: CA
ZIP: 94588-2710
BUSINESS PHONE: (925) 474-2500
MAIL ADDRESS:
STREET 1: 4698 Willow Road
STREET 2: Suite 100
CITY: Pleasanton
STATE: CA
ZIP: 94588-2710
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FHM V, LP
CENTRAL INDEX KEY: 0001346948
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35318
FILM NUMBER: 131021495
BUSINESS ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: (206) 621-7200
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Frazier Healthcare V, LP
CENTRAL INDEX KEY: 0001341169
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35318
FILM NUMBER: 131021496
BUSINESS ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: (206) 621-7200
MAIL ADDRESS:
STREET 1: 601 UNION STREET, SUITE 3200
CITY: SEATTLE
STATE: WA
ZIP: 98101
4
1
rrd387862.xml
FORM 4
X0306
4
2013-08-08
0
0001415336
Zeltiq Aesthetics Inc
ZLTQ
0001341169
Frazier Healthcare V, LP
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
0001346948
FHM V, LP
601 UNION STREET, SUITE 3200
SEATTLE
WA
98101
0
0
1
0
Common Stock
2013-08-08
4
J
0
3000000
0
D
4427244
I
See Footnote
On August 8, 2013, (i) Frazier Healthcare V, L.P. ("Frazier V") distributed 3,000,000 shares of Common Stock of Zeltiq Aesthetics Inc. (the "Issuer") pro-rata to its partners for no consideration, and (ii) FHM V, L.P., the general partner of Frazier V, distributed all shares it received from Frazier V, representing FHM V, L.P.'s pro rata general partner interest in the shares held by Frazier V, pro-rata to its partners for no consideration. These distributions were made in accordance with the exemption under Rule 16a-9(a) of the Securities Exchange Act of 1934, as amended.
After the distributions, Frazier V directly held 4,427,244 shares, and FHM V, L.P. did not directly hold any shares. FHM V, L.P. is the general partner of Frazier V, and FHM V, L.P. may be deemed to have voting and dispositive power with respect to the shares held directly by Frazier V. FHM V, L.P. disclaims beneficial ownership of the securities owned directly by Frazier V, except to the extent of its pecuniary interest therein.
Frazier Healthcare V, L.P., By: FHM V, L.P., its general partner, By FHM V, L.L.C., its general partner, By: /s/ Steve Bailey, Chief Financial Officer
2013-08-08
FHM V, L.P., By: FHM V, L.L.C., its general partner, By: /s/ Steve Bailey, Chief Financial Officer
2013-08-08