0001012975-11-000080.txt : 20110415 0001012975-11-000080.hdr.sgml : 20110415 20110415181311 ACCESSION NUMBER: 0001012975-11-000080 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20110407 FILED AS OF DATE: 20110415 DATE AS OF CHANGE: 20110415 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAY RUSSELL T CENTRAL INDEX KEY: 0001225960 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33523 FILM NUMBER: 11764023 MAIL ADDRESS: STREET 1: 2525 DUPONT DR CITY: IRVINE STATE: CA ZIP: 92612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CombiMatrix Corp CENTRAL INDEX KEY: 0001383183 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 470899439 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6500 HARBOUR HEIGHTS PKWY #301 CITY: MUKILTEO STATE: WA ZIP: 98275 BUSINESS PHONE: 425-493-2300 MAIL ADDRESS: STREET 1: 6500 HARBOUR HEIGHTS PKWY #301 CITY: MUKILTEO STATE: WA ZIP: 98275 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CAHILL EDWARD L CENTRAL INDEX KEY: 0001025665 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33523 FILM NUMBER: 11764025 MAIL ADDRESS: STREET 1: 10 NORTH CALVERT ST STREET 2: SUITE 735 CITY: BALTIMORE STATE: MD ZIP: 21202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRUA PETER J CENTRAL INDEX KEY: 0001242813 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33523 FILM NUMBER: 11764024 MAIL ADDRESS: STREET 1: 28 GARDEN ST CITY: BOSTON STATE: MA ZIP: 02114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HLM Venture Partners III, L.P. CENTRAL INDEX KEY: 0001464816 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33523 FILM NUMBER: 11764027 BUSINESS ADDRESS: STREET 1: 222 BERKELEY STREET STREET 2: 21ST FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-266-0030 MAIL ADDRESS: STREET 1: 222 BERKELEY STREET STREET 2: 21ST FLOOR CITY: BOSTON STATE: MA ZIP: 02116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HLM Venture Associates III, LLC CENTRAL INDEX KEY: 0001516993 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33523 FILM NUMBER: 11764026 BUSINESS ADDRESS: STREET 1: 222 BERKELEY STREET, 21ST FLOOR CITY: BOSTON STATE: MA ZIP: 02116 BUSINESS PHONE: 617-266-0030 MAIL ADDRESS: STREET 1: 222 BERKELEY STREET, 21ST FLOOR CITY: BOSTON STATE: MA ZIP: 02116 3 1 edgar.xml PRIMARY DOCUMENT X0203 3 2011-04-07 0 0001383183 CombiMatrix Corp CBMX 0001464816 HLM Venture Partners III, L.P. 222 BERKELEY STREET, 21ST FLOOR BOSTON MA 02116 0 0 1 0 0001516993 HLM Venture Associates III, LLC 222 BERKELEY STREET, 21ST FLOOR BOSTON MA 02116 0 0 1 0 0001025665 CAHILL EDWARD L C/O HLM VENTURE PARTNERS 222 BERKELEY STREET, 21ST FLOOR BOSTON MA 02116 0 0 1 0 0001242813 GRUA PETER J C/O HLM VENTURE PARTNERS 222 BERKELEY STREET, 21ST FLOOR BOSTON MA 02116 0 0 1 0 0001225960 RAY RUSSELL T C/O HLM VENTURE PARTNERS 222 BERKELEY STREET, 21ST FLOOR BOSTON MA 02116 0 0 1 0 Common Stock 1595896 D Common Stock Warrants (right to buy) 2.14 2011-10-08 2016-04-07 Common Stock 678255 D Securities held of record by HLM Venture Partners III, L.P. ("HLM"). HLM Venture Associates III, LLC (the "GPLLC"), as the sole general partner of HLM, may be deemed to beneficially own certain of the shares held of record by HLM. The GPLLC disclaims beneficial ownership of all shares held of record by HLM in which the GPLLC does not have an actual pecuniary interest. Each of Messrs. Cahill, Grua and Ray, as individual Class A Members of the GPLLC, may be deemed to beneficially own certain of the shares held of record by HLM. Each of Messrs. Cahill, Grua and Ray disclaims beneficial ownership of all shares held of record by HLM in which he does not have an actual pecuniary interest. /s/ Vincent J. Fabiani as attorney-in-fact for HLM Ventures Partners III, l..P. 2011-04-15 /s/ Vincent J. Fabiani as attorney-in-fact for HLM Ventures Assocaites III, l.LC 2011-04-15 /s/ Vincent J. Fabiani as attorney-in-fact for Edward L. Cahill 2011-04-15 /s/ Vincent J. Fabiani as attorney-in-fact for Peter Grua 2011-04-15 /s/ Vincent J. Fabiani as attorney-in-fact for Russell T. Ray 2011-04-15 EX-24 2 attach_1.htm

POWER OF ATTORNEY



 KNOW ALL MEN BY THESE PRESENTS, that each of the undersigned hereby constitutes and

appoints Vincent J. Fabiani, his true and lawful attorney-in-fact, with full power of

substitution, to sign any and all instruments, certificates and documents that may be

necessary, desirable or appropriate to be executed on behalf of himself as an individual or

in his capacity as a direct or indirect general partner, director, officer, manager or

member of any partnership, corporation or limited liability company, pursuant to section 13

or 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and any and

all regulations promulgated thereunder, and to file the same, with all exhibits thereto, and

any other documents in connection therewith, with the Securities and Exchange Commission,

and with any other entity when and if such is mandated by the Exchange Act or by the

Financial Industry Regulatory Authority, granting unto said attorney-in-fact full power and

authority to do and perform each and every act and thing necessary, desirable or

appropriate, fully to all intents and purposes as he might or could do in person, thereby

ratifying and confirming all that said attorney-in-fact, or his substitutes, may lawfully do

or cause to be done by virtue hereof.



 IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 14th day of

April, 2011.





/s/ Edward Cahill

Edward Cahill



/s/ Martin Felesnthal

Martin Felsenthal



/s/ Peter Grua

Peter Grua



/s/ Russell Ray

Russell Ray





HLM VENTURE ASSOCIATES III, LLC



By:  /s/Vincent Fabiani

Name:  Vincent Fabiani

Title:  Authorized Signatory





HLM VENTURE PARTNERS III, L.P.



By:  HLM VENTURE ASSOCIATES III, LLC,



By: /s/Vincent Fabiani

Name:  Vincent Fabiani

Title:  Authorized Signatory