X0202 3 2004-10-27 0 0001217688 FOXHOLLOW TECHNOLOGIES, INC. FOXH 0001007708 SIMPSON JOHN B PH D MD C/O FOXHOLLOW TECHNOLOGIES, INC. 740 BAY ROAD REDWOOD CITY CA 94063 1 0 1 0 0001307056 John Bush Simpson, Trustee of the John Bush Simpson Annuity Trust dated October 20, 2004 C/O FOXHOLLOW TECHNOLOGIES, INC. REDWOOD CITY CA 94063 1 0 1 0 Common Stock 267500 I By Simpson Family Trust Common Stock 2000 I By Spouse Series A Convertible Preferred Stock Common Stock 125000 I By Simpson Family Trust Series A Convertible Preferred Stock Common Stock 4375 I By Spouse Series A Convertible Preferred Stock Common Stock 125000 I By Fox Hollow, LP Series B Convertible Preferred Stock Common Stock 46296 I By Simpson Family Trust Series B Convertible Preferred Stock Common Stock 46296 I By Fox Hollow, LP Series C Convertible Preferred Stock Common Stock 351227 I By Simpson Family Trust Series C Convertible Preferred Stock Common Stock 1378 I By Spouse Series C Convertible Preferred Stock Common Stock 202624 I By De Novo (Q) Ventures I Series C Convertible Preferred Stock Common Stock 40094 I By De Novo Ventures I Series C Convertible Preferred Stock Common Stock 124140 I By JD Simpson Trust Series D Convertible Preferred Stock Common Stock 328954 I By JD Simpson Trust Series D Convertible Preferred Stock Common Stock 2808476 I By Simpson Family Trust Series D Convertible Preferred Stock Common Stock 16447 I By Fox Hollow, LP Series D Convertible Preferred Stock Common Stock 1098433 I By De Novo (Q) Ventures I Series D Convertible Preferred Stock Common Stock 217356 I By De Novo Ventures I Series D Convertible Preferred Stock Common Stock 48793 I By Spouse Series D Convertible Preferred Stock Common Stock 250000 I By John B. Simpson Annuity Trust Series D Convertible Preferred Stock Warrant (Right to Buy) 3.04 2009-11-05 Common Stock 27091 I By De Novo (Q)Ventures I Series D Convertible Preferred Stock Warrant (Right to Buy) 3.04 2009-11-05 Common Stock 5360 I By De Novo Ventures I Series E Convertible Preferred Stock Common Stock 1399999 I By Simpson Family Trust Series E Convertible Preferred Stock Common Stock 431318 I By De Novo (Q) Ventures I Series E Convertible Preferred Stock Common Stock 85347 I By De Novo Ventures I Series E Convertible Preferred Stock Common Stock 83333 I By JD Simpson Trust Dr. Simpson disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. These securites are held in a trust for the benefit of Dr. Simpson's son of which Dr. Simpson serves as a trustee. Dr. Simpson disclaims beneficial ownership of these securities, and the filing of this report is not an admission that Dr. Simpson is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. These securities are owned directly by the John Bush Simpson Annuity Trust and indirectly by Dr. Simpson, as the trustee of the John Bush Simpson Annuity Trust. Immed. N/A 1-for-1 1-for-1.367 Dr. Simpson is a managing director of De Novo Management, L.L.C., the general partner of De Novo (Q) Ventures I, L.P. and De Novo Ventures I, L.P. Dr. Simpson disclaims beneficial ownership of these securities except to the extent of his pecuniary interests therein. This report is filed jointly by John B. Simpson and John Bush Simpson Annuity Trust, both of whom are 10% owners. The Date of Event is based upon the date of effectiveness of the Issuer's Registration Statement on Form S-1 filed in connection with the Issuer's initial public offering, estimated to be on or about October 27, 2004. Exhibit List Exhibit 99 - Joint Filer Information /s/ John B. Simpson 2004-10-25