0001193125-16-496525.txt : 20160308 0001193125-16-496525.hdr.sgml : 20160308 20160308135334 ACCESSION NUMBER: 0001193125-16-496525 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20160308 DATE AS OF CHANGE: 20160308 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Zeltiq Aesthetics Inc CENTRAL INDEX KEY: 0001415336 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 270119051 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-86461 FILM NUMBER: 161491175 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Frazier Healthcare V, LP CENTRAL INDEX KEY: 0001341169 IRS NUMBER: 830410164 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A 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 SC 13G/A 1 d138409dsc13ga.htm SC 13G/A SC 13G/A

13G

CUSIP No. 98933Q108

 

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULE 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO

RULE 13d-2

(Amendment No. 1)*

 

 

ZELTIQ Aesthetics, Inc.

(Name of Issuer)

Common Stock, $0.001 par value per share

(Title of Class of Securities)

98933Q108

(CUSIP Number)

December 31, 2013

(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).

 

 

 

 

Page 1 of 5 Pages


13G

CUSIP No. 98933Q108

 

Item 1(a). Name of Issuer: ZELTIQ Aesthetics, Inc. (the “Issuer”)

 

Item 1(b). Address of Issuer’s Principal Executive Offices:

4698 Willow Road, Suite 100

Laguna Hills, California 92653

 

Item 2(a). Name of Persons Filing:

Frazier Healthcare V, L.P. (“FH V”), FHM V, L.P. (“FHM L.P.”) and FHM V, L.L.C. (“FHM L.L.C.”), and collectively, the “Reporting Persons”. FHM L.P. is the sole general partner of FH V. FHM L.L.C. is the sole general partner of FHM L.P.

 

Item 2(b). Address of Principal Business Office or, if None, Residence: The address of each of the Reporting Persons is:

c/o Frazier Healthcare Ventures

601 Union Street, Suite 3200

Seattle, WA 98101

 

Item 2(c). Citizenship: FH V and FHM L.P. are limited partnerships organized under the laws of the State of Delaware. FHM L.L.C. is a limited liability company organized under the laws of the State of Delaware.

 

Item 2(d). Title of Class of Securities: Common Stock, $0.001 par value per share (the “Common Stock”).

 

Item 2(e). CUSIP Number: 98933Q108

 

Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:

Not applicable.

 

Item 4. Ownership.

Not applicable.

 

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.

 

Page 2 of 5 Pages


13G

CUSIP No. 98933Q108

 

Item 7. Identification and Classification of the Subsidiary which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

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. This Schedule 13G is not filed pursuant to Rule 13d-1(b) or Rule 13d-1(c).

 

Page 3 of 5 Pages


13G

CUSIP No. 98933Q108

 

SIGNATURES

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.

 

Dated March 7, 2016     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 R. Bailey

        Steve R. Bailey, Chief Financial Officer
Dated March 7, 2016     FHM V, L.P.
      By: FHM V, L.L.C., its General Partner
      By:  

/s/ Steve R. Bailey

        Steve R. Bailey, Chief Financial Officer
Dated March 7, 2016     FHM V, L.L.C.
      By:  

/s/ Steve R. Bailey

        Steve R. Bailey, Chief Financial Officer

 

Page 4 of 5 Pages


13G

CUSIP No. 98933Q108

 

EXHIBIT 1

AGREEMENT

Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, the undersigned hereby agree that only one statement containing the information required by Schedule 13G need to be filed with respect to the ownership by each of the undersigned of shares of Common Stock of ZELTIQ Aesthetics, Inc.

 

Dated March 7, 2016     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 R. Bailey

        Steve R. Bailey, Chief Financial Officer
Dated March 7, 2016     FHM V, L.P.
      By: FHM V, L.L.C., its General Partner
      By:  

/s/ Steve R. Bailey

        Steve R. Bailey, Chief Financial Officer
Dated March 7, 2016     FHM V, L.L.C.
      By:  

/s/ Steve R. Bailey

        Steve R. Bailey, Chief Financial Officer

 

Page 5 of 5 Pages