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*
PROSPECT VENTURE PARTNERS II LP

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TERCICA INC [ TRCA ]
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)
03/22/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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 03/22/2004 P 547,222 A $9 547,222 I See footnote(1)
Common Stock 03/22/2004 P 8,333 A $9 555,555 I See footnote(2)
Common Stock 03/22/2004 C 2,031,562 A $0(3) 2,587,117 I See footnote(1)
Common Stock 03/22/2004 C 30,937 A $0(3) 2,618,054 I See footnote(2)
Common Stock 03/22/2004 C 1,182,000 A $0(4) 3,800,054 I See footnote(1)
Common Stock 03/22/2004 C 18,000 A $0(4) 3,818,054 I See footnote(2)
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
Series A Convertible Preferred Stock $0(3) 03/22/2004 C 2,031,562 (3) (3) Common Stock 2,031,562 $0 0 I See footnote(1)
Series A Convertible Preferred Stock $0(3) 03/22/2004 C 30,937 (3) (3) Common Stock 30,937 $0 0 I See footnote(2)
Series B Convertible Preferred Stock $0(4) 03/22/2004 C 1,182,000 (4) (4) Common Stock 1,182,000 $0 0 I See footnote(1)
Series B Convertible Preferred Stock $0(4) 03/22/2004 C 18,000 (4) (4) Common Stock 18,000 $0 0 I See footnote(2)
1. Name and Address of Reporting Person*
PROSPECT VENTURE PARTNERS II LP

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
PROSPECT MANAGEMENT CO II LLC

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SCHNELL DAVID

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
TANANBAUM JAMES B

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
HIRSCH RUSSELL C

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
PROSPECT ASSOCIATES II L P

(Last) (First) (Middle)
435 TASSO STREET
SUITE 200

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Consists of shares held by Prospect Venture Partners II L.P. Alexander Barkas (who is a director of the Issuer and files separate Section 16(a) reports), Russell Hirsch, David Schnell and James Tananbaum are managing members of Prospect Management Co. II, LLC, the general partner of Prospect Venture Partners II L.P. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of his or its pecuniary interest therein.
2. Consists of shares held by Prospect Associates II L.P. Messrs. Barkas, Hirsch, Schnell and Tananbaum are managing members of Prospect Management Co. II, LLC, the general partner of Prospect Associates II L.P. Each of the Reporting Persons disclaims beneficial ownership of the shares except to the extent of his or its pecuniary interest therein.
3. Each share of Series A Convertible Preferred Stock was automatically converted into one share of common stock on the closing date of the Issuer's initial public offering (March 22, 2004).
4. Each share of Series B Convertible Preferred Stock was automatically converted into one share of common stock on the closing date of the Issuer's initial public offering (March 22, 2004).
Remarks:
/s/ Chen Tang, Attorney-in-fact, Russell C. Hirsch, managing member of Prospect Management Co. II, LLC, general partner of Prospect Venture Partners II, L.P. 03/24/2004
Chen Tang, Attorney-in-fact, Russell C. Hirsch, managing member of Prospect Management Co. II, LLC 03/24/2004
Chen Tang, Attorney-in-fact, David Schnell 03/24/2004
Chen Tang, Attorney-in-fact, James B Tananbaum 03/24/2004
Chen Tang, Attorney-in-fact, Russell Hirsch 03/24/2004
Chen Tang, Attorney-in-fact, Russell C. Hirsch, managing member of Prospect Management Co. II, LLC, general partner of Prospect Associates II, L.P. 03/24/2004
** 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).
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