X0202 3 2004-06-21 0 0001235010 MOMENTA PHARMACEUTICALS INC MNTA 0001296587 MVM International Life Sciences Fund No 1 L P 6 HENRIETTA STREET LONDON WC2E 8PU UNITED KINGDOM 0 0 1 0 Series B Convertible Preferred Stock Common Stock 2255187 D Series B Convertible Preferred Stock Common Stock 7745 I See Footnote Series B Convertible Preferred Stock Common Stock 5011 I See Footnote Series B Convertible Preferred Stock Common Stock 5011 I See Footnote Series B Convertible Preferred Stock Common Stock 5011 I See Footnote Series C Convertible Preferred Stock Common Stock 429561 D Series C Convertible Preferred Stock Common Stock 911 I See Footnote Series C Convertible Preferred Stock Common Stock 954 I See Footnote Series C Convertible Preferred Stock Common Stock 954 I See Footnote Series C Convertible Preferred Stock Common Stock 954 I See Footnote Series C Convertible Preferred Stock Common Stock 96 I See Footnote Series C Convertible Preferred Stock Common Stock 234 I See Footnote Series C Convertible Preferred Stock Common Stock 234 I See Footnote Automatically converts into common stock upon the closing of the Issuer's initial public offering of common stock. N/A Reflects a 1-for-1.28 forward stock split, which became effective on May 10, 2004, pursuant to which each share of Series B Convertible Preferred Stock and Series C Convertible Preferred Stock will automatically convert into approximately 1.28 shares of common stock upon the closing of the Issuer's initial public offering of common stock. These shares are held directly by MVM International Life Sciences Fund No. 1 L.P. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by MVM Limited. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by David Brister. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by Paul Triniman. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by Stephen Reeders. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. These shares are held directly by Martin Murphy. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by Richard Lim. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. These shares are held directly by Thomas Casdagli. Stephen Reeders, Paul Triniman and David Brister are the investment directors of MVM Limited, which individuals exercise discretionary investment power over securities held by MVM International Life Sciences Fund No. 1 L.P., MVM Limited, Stephen Reeders, Paul Triniman, David Brister, Martin Murphy, Richard Lim and Thomas Casdagli, and are principally responsible for the selection, acquisition and disposition of these securities. Dr. Reeders disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest in such shares. /s/ Thomas Casdagli 2004-06-29