-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, G/MdCgGTD40OuanEA4T0pzkboWq/9fHJNxlkhNelSCFzzPU1jw2nIH0QgB2ZG5Yi kW+42VEku1t59sPjQi2g3A== 0001209191-06-055064.txt : 20061018 0001209191-06-055064.hdr.sgml : 20061018 20061018061506 ACCESSION NUMBER: 0001209191-06-055064 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061017 FILED AS OF DATE: 20061018 DATE AS OF CHANGE: 20061018 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Trubion Pharmaceuticals, Inc CENTRAL INDEX KEY: 0001298521 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 2401 14TH AVENUE STREET 2: SUITE 1050 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: 2068380500 MAIL ADDRESS: STREET 1: 2401 14TH AVENUE STREET 2: SUITE 1050 CITY: SEATTLE STATE: WA ZIP: 98121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GILLIS STEVEN CENTRAL INDEX KEY: 0001229592 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061149801 BUSINESS ADDRESS: STREET 1: 4311 FOREST AVE. CITY: MERCER ISLAND STATE: WA ZIP: 98040 3 1 bos24291_bossg.xml MAIN DOCUMENT DESCRIPTION X0202 3 2006-10-17 0 0001298521 Trubion Pharmaceuticals, Inc TRBN 0001229592 GILLIS STEVEN ARCH VENTURE PARTNERS, 1000 2ND AVE., SUITE 3700 SEATTLE WA 98104 1 0 0 1 Ind. gen. partner of 10% owner Common Stock 23920 I See footnotes Stock Option (right to buy) 6.5218 2016-03-08 Common Stock 19135 D Series A Preferred Stock 2006-10-17 Common Stock 1047724 I See footnotes Series B Preferred Stock 2006-10-17 Common Stock 1240762 I See footnotes Represents (a) 23,762 shares of common stock held by ARCH Venture Fund V, L.P. (b) 158 shares of common stock held by ARCH V Entrepreneurs Fund, L.P. Represents (a) 979,880 shares of common stock held by ARCH Venture Fund V, L.P.; (b) 6,511 shares of common stock held by ARCH V Entrepreneurs Fund, L.P.; and (c) 61,333 shares of common stock held by Healthcare Focus Fund, L.P. Represents (a) 1,161,459 shares of common stock held by ARCH Venture Fund V, L.P.; (b) 7,834 shares of common stock held by ARCH V Entrepreneurs Fund, L.P.; and (c) 71,469 shares of common stock held by Healthcare Focus Fund, L.P. Reporting person is a director of Trubion Pharmaceuticals, Inc. and holds the title of limited partner of ARCH Ventures Fund V, L.P. Dr. Gillis disclaims beneficial ownership of shares owned by these entities. 30,000 shares vest on 1/25/06 and 1/48 monthly thereafter of remaining balance 1-for-1 No expiration date /s/ Lauree Seko 2006-10-17 -----END PRIVACY-ENHANCED MESSAGE-----