X0202 4 2004-10-13 1 0001163848 INTRALASE CORP ILSE 0001207786 DOVEY BRIAN H C/O DOMAIN ASSOCIATES, LLC ONE PALMER SQUARE PRINCETON NJ 08542 0 0 1 0 Common Stock 2004-10-13 4 C 0 2011938 A 2011938 I By Domain Partners IV, L.P. Common Stock 2004-10-13 4 C 0 24238 A 24238 I By DP IV Associates, L.P. Series E Preferred Stock 2004-10-13 4 C 0 1146690 0 D Common Stock 1011459 0 I By Domain Partners IV, L.P. Series F Preferred Stock 2004-10-13 4 C 0 806902 0 D Common Stock 582202 0 I By Domain Partners IV, L.P. Series G Preferred Stock 2004-10-13 4 C 0 579710 0 D Common Stock 418277 0 I By Domain Partners IV, L.P. Series E Preferred Stock 2004-10-13 4 C 0 27478 0 D Common Stock 24238 0 I By DP IV Associates, L.P. All of the Preferred Stock automatically converted 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 (4)(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity 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. Reflects the reverse split of the Common Stock effective upon the closing of the Issuer's initial public offering. Kathleen K. Schoemaker, Attorney-in-Fact 2004-10-13