SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Kliman Gilbert H

(Last) (First) (Middle)
C/O INTERWEST PARTNERS
2710 SAND HILL ROAD, 2ND FLOOR

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CORGENTECH INC [ CGTK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/09/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/09/2006 P 1,000 A $9.95 7,283 D
Common Stock 03/17/2006 P 5,000 A $8.9737 12,283 D
Common Stock 03/17/2006 J(1) 0 A $0 2,721,685 I by InterWest Partners VIII, LP(1)
Common Stock 03/17/2006 J(2) 0 A $0 77,870 I by InterWest Investors Q VIII, LP(2)
Common Stock 03/17/2006 J(3) 0 A $0 21,869 I by InterWest Investors VIII, LP(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The shares are owned by InterWest Partners VIII, LP ("IW8"). The reporting person is a Managing Director of InterWest Management Partners VIII, LLC ("IMP8"), the general partner of IW8. The reporting person disclaims beneficial ownership of shares held by IW8, except to the extent of his pecuniary interest therein. The shares are listed here with code J to indicate that there has been no change in beneficial ownership of the indirect holdings. The reporting person is deemed to be a 10% owner due to these indirect holdings.
2. The shares are owned by InterWest Investors Q VIII, LP ("IIQ8"). The reporting person is a Managing Director of IMP8, the general partner of IIQ8. The reporting person disclaims beneficial ownership of shares held by IIQ8, except to the extent of his pecuniary interest therein. The shares are listed here with code J to indicate that there has been no change in beneficial ownership of the indirect holdings. The reporting person is deemed to be a 10% owner due to these indirect holdings.
3. The shares are owned by InterWest Investors VIII, LP ("II8"). The reporting person is a Managing Director of IMP8 the general partner of II8. The reporting person disclaims beneficial ownership of shares held by II8, except to the extent of his pecuniary interest therein. The shares are listed here with code J to indicate that there has been no change in beneficial ownership of the indirect holdings. The reporting person is deemed to be a 10% owner due to these indirect holdings.
/s/Gilbert H. Kliman 03/20/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.