X0202 3 2004-10-06 0 0001163848 INTRALASE CORP ILSE 0001024000 BLAIR JAMES C C/O DOMAIN ASSOCIATES, LLC ONE PALMER SQUARE PRINCETON NJ 08542 0 0 1 0 Series E Preferred Stock Common Stock 1401829 I By Domain Partners IV, L.P. Series F Preferred Stock Common Stock 806902 I By Domain Partners IV, L.P. Series G Preferred Stock Common Stock 579710 I By Domain Partners IV, L.P. Series E Preferred Stock Common Stock 33592 I By DP IV Associates, L.P. All of the Preferred Stock will automatically convert into Common Stock immediately upon the closing of the Issuer's initial public offering, for no additional consideration. The Reporting Person is a managing member of One Palmer Square Associates IV, L.L.C., the sole general partner of Domain Partners IV, L.P. and DP IV Associates, L.P. Pursuant to Instruction (5)(b)(iv) of Form 3, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such limited partnership. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his or her pecuniary interest therein and/or that are not actually distributed to him or her. Does not reflect the reverse split of the Common Stock that will be effective upon the closing of the Issuer's initial public offering. Kathleen K. Schoemaker, Attorney-in-Fact 2004-10-06