-----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, LVjfz05ybi4nrzGBskPeD3KvBSKOUnVrzBY0zBoR6uX7VOKXbNkytNu88Qh3/dAi Rls4+YeVZONnFXDhQXMRKg== 0001209191-10-002502.txt : 20100108 0001209191-10-002502.hdr.sgml : 20100108 20100108162733 ACCESSION NUMBER: 0001209191-10-002502 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100106 FILED AS OF DATE: 20100108 DATE AS OF CHANGE: 20100108 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: 000-50573 FILM NUMBER: 10517946 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NOHRA GUY P CENTRAL INDEX KEY: 0001198330 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517947 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ANESIVA, INC. CENTRAL INDEX KEY: 0001131517 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 770503399 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 OYSTER POINT BOULEVARD, SUITE 502 STREET 2: -- CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 6506249600 MAIL ADDRESS: STREET 1: 400 OYSTER POINT BOULEVARD, SUITE 502 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: CORGENTECH INC DATE OF NAME CHANGE: 20010106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRUENER GARRETT CENTRAL INDEX KEY: 0001106287 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517945 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 PARTNERS III LLC CENTRAL INDEX KEY: 0001163150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517942 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 CALIFORNIA PARTNERS III LP CENTRAL INDEX KEY: 0001163187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517943 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 Partners VIII, L.P. CENTRAL INDEX KEY: 0001399763 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517948 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 Partners Management VIII, LLC CENTRAL INDEX KEY: 0001399894 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50573 FILM NUMBER: 10517944 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-01-06 0 0001131517 ANESIVA, INC. ANSV 0001399763 Alta Partners VIII, L.P. ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001198330 NOHRA GUY P ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001198321 CHAMPSI FARAH ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001106287 GRUENER GARRETT ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001399894 Alta Partners Management VIII, LLC ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001163187 ALTA CALIFORNIA PARTNERS III LP ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 0001163150 ALTA EMBARCADERO PARTNERS III LLC ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 0 0 1 0 Common Stocks 2010-01-06 4 S 0 372999 0.0918 D 5799841 D Common Stocks 2010-01-06 4 S 0 30612 0.0918 D 475994 I By ACP III, LP Common Stocks 2010-01-06 4 S 0 1039 0.0918 D 16160 I By AEP III, LLC Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transaction reported was $0.07 to $0.105 per share. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. These securities are held of record by Alta Partners VIII, L.P. ("APVIII"). Alta Partners Management VIII, LLC ("APMVIII") is the general partner of APVIII. Guy Nohra, Daniel Janney, and Farah Champsi are managing directors of APMVIII and exercise shared voting and investment power with respect to the shares owned by APVIII. Each of the reporting persons disclaims beneficial ownership of such securities, except to the extent of his, her, or its proportionate pecuniary interest therein. These securities are held of record by Alta California Partners III, L.P. ("ACPIII"). Alta California Management Partners III, LLC ("ACMPIII") is the general partners of ACPIII. Garrett Gruener, Guy Nohra, and Daniel Janney are the managing directors of ACMPIII and exercise shared voting and investment power with respect to the shares owned by ACP III. Each of the reporting persons disclaims beneficial ownership of such securities, except to the extent of his, her, or its proportionate pecuniary interest therein. These securities are held of record by Alta Embarcadero Partners III, LLC ("AEPIII"). Garrett Gruener, Guy Nohra, and Daniel Janney are managers of AEPIII and exercise shared voting and investment power with respect to the shares owned by AEPIII. Each of the reporting persons disclaims beneficial ownership of such securities, except to the extent of his, her, or its proportionate pecuniary interest therein. By Alta Partners Management VIII, LLC, its General Partner, /s/ Daniel Janney, Managing Director 2010-01-08 /s/ Guy Nohra 2010-01-08 /s/ Farah Champsi 2010-01-08 /s/ Garrett Gruener 2010-01-08 /s/ Daniel Janney, Managing Director 2010-01-08 By Alta California Management Partners III, LLC, its General Partner, /s/ Guy Nohra, Managing Director 2010-01-08 /s/ Daniel Janney, Manager 2010-01-08 -----END PRIVACY-ENHANCED MESSAGE-----