-----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, QNwPeJ5/TAfYmQzN3k6BRMAKrPULQ68yjN/LySJ4jIerCIjbTU/iUsZ5Lvq8p+R8 bcnTMrfSR+b9MQbfV8jjsg== 0001209191-06-055115.txt : 20061018 0001209191-06-055115.hdr.sgml : 20061018 20061018144738 ACCESSION NUMBER: 0001209191-06-055115 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 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: FRAZIER AFFILIATES IV LP CENTRAL INDEX KEY: 0001161015 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150686 BUSINESS ADDRESS: STREET 1: TWO UNION SQUARE STREET 2: SUITE 3300 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-621-7200 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRAZIER HEALTHCARE IV LP CENTRAL INDEX KEY: 0001140366 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150687 BUSINESS ADDRESS: STREET 1: TWO UNION SQUARE STREET 2: SUITE 3300 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 2066217200 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FHM IV LP CENTRAL INDEX KEY: 0001281153 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150688 MAIL ADDRESS: STREET 1: TWO UNION SQUARE STREET 2: 601 UNION STREET STE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frazier Affiliates III, LP CENTRAL INDEX KEY: 0001328291 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150689 BUSINESS ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frazier Healthcare III, LP CENTRAL INDEX KEY: 0001328279 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150690 BUSINESS ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FHM III, LLC CENTRAL INDEX KEY: 0001328093 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33054 FILM NUMBER: 061150691 BUSINESS ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: (206) 621-7200 MAIL ADDRESS: STREET 1: 601 UNION STREET STREET 2: SUITE 3200 CITY: SEATTLE STATE: WA ZIP: 98101 3 1 bos24291_bos10adf.xml MAIN DOCUMENT DESCRIPTION X0202 3 2006-10-17 0 0001298521 Trubion Pharmaceuticals, Inc TRBN 0001328093 FHM III, LLC 601 UNION, TWO UNION SQUARE SUITE 3200 SEATTLE WA 98101 0 0 1 0 0001328279 Frazier Healthcare III, LP 601 UNION STREET SUITE 3200 SEATTLE WA 98101 0 0 1 0 0001328291 Frazier Affiliates III, LP 601 UNION STREET SUITE 3200 SEATTLE WA 98101 0 0 1 0 0001281153 FHM IV LP TWO UNION SQUARE 601 UNION STREET STE 3200 SEATTLE WA 98101 0 0 1 0 0001140366 FRAZIER HEALTHCARE IV LP 0 0 1 0 0001161015 FRAZIER AFFILIATES IV LP 0 0 1 0 Common Stock 105 I By Frazier Affiliates III, L.P. Common Stock 131 I By Frazier Affiliates IV, L.P. Common Stock 13849 I By Frazier Healthcare III, L.P. Common Stock 25783 I By Frazier Healthcare IV, L.P. Series A Preferred Stock 2006-10-17 Common Stock 2572 I By Frazier Affiliates III, L.P. Series A Preferred Stock 2006-10-17 Common Stock 3243 I By Frazier Affiliates IV, L.P. Series A Preferred Stock 2006-10-17 Common Stock 341877 I By Frazier Healthcare III, L.P. Series A Preferred Stock 2006-10-17 Common Stock 638701 I By Frazier Healthcare IV, L.P. Series B Preferred Stock 2006-10-17 Common Stock 1696 I By Frazier Affiliates III, L.P. Series B Preferred Stock 2006-10-17 Common Stock 4760 I By Frazier Affiliates IV, L.P. Series B Preferred Stock 2006-10-17 Common Stock 225557 I By Frazier Healthcare III, L.P. Series B Preferred Stock 2006-10-17 Common Stock 937282 I By Frazier Healthcare IV, L.P. These securities are owned directly by the entity listed. Frazier Affiliates III, LP and Frazier Healthcare III, LP, are joint filers. The designated filer, FHM III, LLC, serves as the general partner of Frazier Affiliates III, L.P. and Frazier Healthcare III, L.P. FHM III, LLC disclaims beneficial ownership of the reported securities, except to the extend of its proportionate pecuniary interest therein. These securities are owned directly by the entity listed. Frazier Affiliates IV, LP and Frazier Healthcare IV, LP, are joint filers. FHM IV, LP, also a joint filer, serves as the general partner of Frazier Affiliates IV, LP and Frazier Healthcare IV, LP. FHM IV, LP disclaims beneficial ownership of the reported securities, except to the extent of its proportionate pecuniary interest therein No expiration date. 1-for-1. Exhibit 99.1 - Joint Filer Information FHM III, LLC, By: Frazier & Company, Inc., Its Managing Member, By: Alan D. Frazier, President 2006-10-18 EX-99 2 bos24291_bos10ex99.txt ADDITIONAL EXHIBITS Form 3 Joint Filer Information Name: Frazier Healthcare III, LP Address: 601 Union Street, Suite 3200, Seattle, WA 98101 Designated Filer: FHM III, LLC Issuer & Ticker Symbol: Trubion Pharmaceuticals, Inc. (TRBN) Date of Event Requiring Statement: October 17, 2006 Frazier Healthcare III, LP By: FHM III, LLC, its General Partner By: Frazier & Company, Inc., Manager By: /s/ Alan D. Frazier Alan D. Frazier, President Name: Frazier Affiliates III, LP Address: 601 Union Street, Suite 3200, Seattle, WA 98101 Designated Filer: FHM III, LLC Issuer & Ticker Symbol: Trubion Pharmaceuticals, Inc. (TRBN) Date of Event Requiring Statement: October 17, 2006 Frazier Affiliates III, LP By: FHM III, LLC, its General Partner By: Frazier & Company, Inc., Manager By: /s/ Alan D. Frazier Alan D. Frazier, President Name: FHM IV, LP Address: 601 Union Street, Suite 3200, Seattle, WA 98101 Designated Filer: FHM III, LLC Issuer & Ticker Symbol: Trubion Pharmaceuticals, Inc. (TRBN) Date of Event Requiring Statement: October 17, 2006 FHM IV, LP By: FHM IV, LLC, its General Partner By: /s/ Alan D. Frazier Alan D. Frazier, Member Name: Frazier Healthcare IV, LP Address: 601 Union Street, Suite 3200, Seattle, WA 98101 Designated Filer: FHM IV, LP Issuer & Ticker Symbol: Trubion Pharmaceuticals, Inc. (TRBN) Date of Event Requiring Statement: October 17, 2006 Frazier Healthcare IV, LP By: FHM IV, LP, its General Partner By: FHM IV, LLC, its General Partner By: /s/ Alan D. Frazier Alan D. Frazier, Member Name: Frazier Affiliates IV, LP Address: 601 Union Street, Suite 3200, Seattle, WA 98101 Designated Filer: FHM IV, LP Issuer & Ticker Symbol: Trubion Pharmaceuticals, Inc. (TRBN) Date of Event Requiring Statement: October 17, 2006 Frazier Affiliates IV, LP By: FHM IV, LP, its General Partner By: FHM IV, LLC, its General Partner By: /s/ Alan D. Frazier Alan D. Frazier, Member SE 2147097 v1 Exhibit 99.1 -----END PRIVACY-ENHANCED MESSAGE-----