-----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, TqrvTCiSsPSCn80aoH6hzRbRZOmOaVeEcFs/Mzrol2ScOSvvaRUhFvpUbmWaO4jK KEtHmRC3qLSgY+mjANO84w== 0001209191-10-036944.txt : 20100702 0001209191-10-036944.hdr.sgml : 20100702 20100702144438 ACCESSION NUMBER: 0001209191-10-036944 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100630 FILED AS OF DATE: 20100702 DATE AS OF CHANGE: 20100702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAMPSI FARAH CENTRAL INDEX KEY: 0001198321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935644 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELEAGE JEAN CENTRAL INDEX KEY: 0001198323 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935645 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PENHOET EDWARD CENTRAL INDEX KEY: 0001198332 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935646 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SUNESIS PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001061027 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 943295878 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 395 OYSTER POINT BOULEVARD STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-266-3500 MAIL ADDRESS: STREET 1: 395 OYSTER POINT BOULEVARD STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: MOSAIC PHARMACEUTICALS INC DATE OF NAME CHANGE: 19980709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALTA BIOPHARMA PARTNERS III LP CENTRAL INDEX KEY: 0001257444 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935650 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 4153624022 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALTA BIOPHARMA MANAGEMENT III LLC CENTRAL INDEX KEY: 0001280234 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935647 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-362-4022 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALTA EMBARCADERO BIOPHARMA PARTNERS III LLC CENTRAL INDEX KEY: 0001280238 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935648 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 4153624022 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 4050 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALTA BIOPHARMA PARTNERS III GMBH & CO BETEILIGUNGS KG CENTRAL INDEX KEY: 0001280265 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51531 FILM NUMBER: 10935649 BUSINESS ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 4153624022 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER, SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 FORMER NAME: FORMER CONFORMED NAME: ALTA BIOPHARMA PARTNERS III GMBH & CO BETEILIGUNGS KG DATE OF NAME CHANGE: 20040213 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-06-30 1 0001061027 SUNESIS PHARMACEUTICALS INC SNSS 0001257444 ALTA BIOPHARMA PARTNERS III LP ONE EMBARCADERO CENTER, SUITE 3700 SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001280265 ALTA BIOPHARMA PARTNERS III GMBH & CO BETEILIGUNGS KG ONE EMBARCADERO CENTER, SUITE 3700 SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001280238 ALTA EMBARCADERO BIOPHARMA PARTNERS III LLC ONE EMBARCADERO CENTER, SUITE 3700 SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001280234 ALTA BIOPHARMA MANAGEMENT III LLC ONE EMBARCADERO CENTER, SUITE 3700 SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001198332 PENHOET EDWARD ONE EMBARCADERO CENTER, SUITE 3700 SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001198323 DELEAGE JEAN ONE EMBARCADERO CENTER 37TH FLOOR SAN FRANCISCO CA 94111 0 0 0 1 Former 10% Owner 0001198321 CHAMPSI FARAH ONE EMBARCADERO CENTER SUITE 4050 SAN FRANCISCO CA 94132 0 0 0 1 Former 10% Owner Common Stock 2010-06-30 4 P 0 10910596 0.275 A 10910596 D Common Stock 2010-06-30 4 P 0 732745 0.275 A 732745 I See Footnote Common Stock 2010-06-30 4 P 0 268883 0.275 A 268883 I See Footnote Common Stock 2010-06-30 4 C 0 4577280 0.00 A 15487876 D Common Stock 2010-06-30 4 C 0 307390 0.00 A 1040135 I See Footnote Common Stock 2010-06-30 4 C 0 112800 0.00 A 381683 I See Footnote Series A Preferred Stock 2010-06-30 4 C 0 457728 0.00 D Common Stock 4577280 0 D Series A Preferred Stock 2010-06-30 4 C 0 30739 0.00 D Common Stock 307390 0 I See Footnote Series A Preferred Stock 2010-06-30 4 C 0 11280 0.00 D Common Stock 112800 0 I See Footnote Alta BioPharma Management III, LLC ("ABMIII") is the general partner of Alta BioPharma Partners III, L.P. ("ABPIII") and the managing limited partner of Alta BioPharma Partners III GmbH & Co. Beteiligungs KG ("ABPIIIKG"). Jean Deleage, Farah Champsi, Edward Penhoet, and Edward Hurwitz are directors of ABMIII and managers of Alta Embarcadero BioPharma Partners III, LLC ("AEBPIII" and, along with ABMIII and ABPIIIKG, the "Funds") exercise shared voting and investment power with respect to the securities held by the funds. Each of the reporting persons disclaims beneficial ownership of such securities, except to the extent of his, her or its proportionate pecuinary interest herein. These securities are held by ABPIIIKG. These securities are held by AEBPIII. The Series A Preferred Stock automatically converted into common stock in accordance with the terms of the applicable Certificate of Designation of the Issuer on a 1-for-10 basis and had no expiration date. By Alta BioPharma Management III, LLC, it's General Partner, /s/ Edward Hurwitz 2010-07-01 By Alta BioPharma Management III, LLC, it's Managing Limited Partner /s/ Jean Deleage, Director 2010-07-01 /s/ Jean Deleage, Manager 2010-07-01 /s/ Jean Deleage, Director 2010-07-01 /s/ Edward Penhoet 2010-07-01 /s/ Jean Deleage 2010-07-01 /s/ Farah Champsi 2010-07-01 -----END PRIVACY-ENHANCED MESSAGE-----