-----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, F0NnUsBdWJVM5o6dDjYEtar9dM+1DHB0HTUip1KljCaJmQ3il0XdCHJkCfOj3+Jn Aev4dOO0VUj0vZQivCzQxQ== 0001193125-11-035666.txt : 20110214 0001193125-11-035666.hdr.sgml : 20110214 20110214191740 ACCESSION NUMBER: 0001193125-11-035666 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110214 DATE AS OF CHANGE: 20110214 GROUP MEMBERS: BCIP ASSOCIATES III, LLC GROUP MEMBERS: BCIP ASSOCIATES III-B, LLC SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TENGION INC CENTRAL INDEX KEY: 0001296391 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 200214813 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-85434 FILM NUMBER: 11610798 BUSINESS ADDRESS: STREET 1: 2900 POTSHOP LANE STREET 2: SUITE 100 CITY: EAST NORRITON STATE: PA ZIP: 19403 BUSINESS PHONE: 267-960-4800 MAIL ADDRESS: STREET 1: 2900 POTSHOP LANE STREET 2: SUITE 100 CITY: EAST NORRITON STATE: PA ZIP: 19403 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BAIN CAPITAL VENTURE FUND 2005, L.P. CENTRAL INDEX KEY: 0001309471 IRS NUMBER: 201330342 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O BAIN CAPITAL, LLC STREET 2: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 617-516-2000 MAIL ADDRESS: STREET 1: C/O BAIN CAPITAL, LLC STREET 2: 111 HUNTINGTON AVENUE CITY: BOSTON STATE: MA ZIP: 02199 SC 13G 1 dsc13g.htm SCHEDULE 13G Schedule 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Rule 13d-102)

Information Statement Pursuant to Rules 13d-1 and 13d-2

Under the Securities Exchange Act of 1934

(Amendment No.     )*

 

 

 

Tengion, Inc.

(Name of Issuer)

 

 

 

Common Stock, par value $0.001 per share

(Title of Class of Securities)

 

88034G109

(CUSIP Number)

 

December 31, 2010

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 


 

CUSIP No. 88034G109

  13G  

 

Page 2 of 8 Pages

 

  1.   

NAME OF REPORTING PERSON

S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

 

    Bain Capital Venture Fund 2005, L.P.

    EIN No.: 20-1330342

  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  x        (b)  ¨

 

  3.  

SEC USE ONLY

 

  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

    Delaware

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

   5.    

SOLE VOTING POWER

 

    472,733 Shares

   6.   

SHARED VOTING POWER

 

    0

   7.   

SOLE DISPOSITIVE POWER

 

    472,733 Shares

   8.   

SHARED DISPOSITIVE POWER

 

    0

  9.

 

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

    472,733 Shares

10.

 

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES    ¨

 

11.

 

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

    3.83%

12.

 

TYPE OF REPORTING PERSON

 

    PN

 

2


 

CUSIP No. 88034G109

  13G  

 

Page 3 of 8 Pages

 

  1.   

NAME OF REPORTING PERSON

S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

 

    BCIP Associates III, LLC

    EIN No.:

  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  x        (b)  ¨

 

  3.  

SEC USE ONLY

 

  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

    Delaware

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

   5.    

SOLE VOTING POWER

 

    67,230 Shares

   6.   

SHARED VOTING POWER

 

    0

   7.   

SOLE DISPOSITIVE POWER

 

    67,230 Shares

   8.   

SHARED DISPOSITIVE POWER

 

    0

  9.

 

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

    67,230 Shares

10.

 

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES    ¨

 

11.

 

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

    0.54%

12.

 

TYPE OF REPORTING PERSON

 

    PN

 

3


 

CUSIP No. 88034G109

  13G  

 

Page 4 of 8 Pages

 

  1.   

NAME OF REPORTING PERSON

S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

 

    BCIP Associates III-B, LLC

    EIN No.:

  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  x        (b)  ¨

 

  3.  

SEC USE ONLY

 

  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

    Delaware

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

   5.    

SOLE VOTING POWER

 

    1,479 Shares

   6.   

SHARED VOTING POWER

 

    0

   7.   

SOLE DISPOSITIVE POWER

 

    1,479 Shares

   8.   

SHARED DISPOSITIVE POWER

 

    0

  9.

 

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

    1,479 Shares

10.

 

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES    ¨

 

11.

 

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

    0.01%

12.

 

TYPE OF REPORTING PERSON

 

    PN

 


Item 1(a). Name of Issuer

The name of the issuer to which this filing on Schedule 13G relates is Tengion, Inc. (the “Company”).

 

Item 1(b). Address of Issuer’s Principal Executive Offices

The principal executive offices of the Company are located at 2900 Potshop Lane, East Norriton, PA, 19403.

 

Item 2(a). Name of Person Filing

This statement is being filed on behalf of the following (collectively, the “Reporting Persons”): (1) Bain Capital Venture Fund 2005, L.P., a Delaware limited partnership (“BCVF”), (2) BCIP Associates III, LLC, a Delaware limited liability company (“BCIP III LLC”), and (3) BCIP Associates III-B, LLC, a Delaware limited liability company (“BCIP III-B LLC”).

Bain Capital Venture Partners 2005, L.P., a Delaware limited partnership (“BVP”), is the sole general partner of BCVF. Bain Capital Venture Investors, LLC, a Delaware limited liability company (“BCVI”), is the sole general partner of BVP. Mr. Michael A. Krupka is the sole managing member of BCVI.

BCIP Associates III, a Cayman Islands partnership (“BCIP III”) is the manager and sole member of BCIP III LLC. BCIP Associates III-B, a Cayman Islands partnership (“BCIP III-B”) is the manager and sole member of BCIP III-B LLC. Bain Capital Investors, LLC, a Delaware limited liability company (“BCI”), is the managing partner of each of BCIP III and BCIP III-B. BCVI is attorney-in-fact of BCI.

BCVF, BCIP III LLC and BCIP III-B LLC have entered into a Joint Filing Agreement, dated February 14, 2011 , pursuant to which BCVF, BCIP III LLC and BCIP III-B LLC have agreed to file this statement jointly in accordance with the provisions of Rule 13d-1(k)(1) under the Securities Exchange Act of 1934.

 

Item 2(b). Address of Principal Business Office or, if none, Residence

The principal business address of each of the Reporting Persons, BVP, BCVI and BCI is c/o Bain Capital, LLC, 111 Huntington Avenue, Boston, MA 02199.

 

Item 2(c). Citizenship

Each of the Reporting Persons, BVP, BCVI and BCI is organized under the laws of the State of Delaware. Mr. Krupka is a citizen of the United States.

BCIP III and BCIP III-B are organized under the laws of the Cayman Islands.

 

Item 2(d). Title of Class of Securities

The class of equity securities of the Company to which this filing on Schedule 13G relates is Common Stock, par value $0.001 per share (“Common Stock”).

 

Item 2(e). CUSIP Number

The CUSIP number of the Company’s Common Stock is 88034G109.


Item 3. If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: Not applicable.

 

(a) [    ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
(b) [    ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 73c).
(c) [    ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
(d) [    ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
(e) [    ] An investment adviser in accordance with §13d-1(b)(1)(ii)(E).
(f) [    ] An employee benefit plan or endowment fund in accordance with §240.13d 1(b)(1)(ii)(F).
(g) [    ] A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G).
(h) [    ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813).
(i) [    ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment

Company Act of 1940 (15 U.S.C. 80a-3).

(j) [    ] Group, in accordance with §240.13d-1(b)(1)(ii)(J).

[    ] If this statement is filed pursuant to §240.13d-1(c), check this box.

 

Item 4. Ownership

 

Item 4(a). Amount beneficially owned

This Schedule 13G is being filed on behalf of the Reporting Persons. The Reporting Persons may be deemed to beneficially own in the aggregate 541,442 shares of Common Stock of the Company, representing, in the aggregate, 4.38% of the Company’s Common Stock. The percentage of Common Stock held by the Reporting Persons is based on 12,356,436 shares of Common Stock of the Company outstanding (the “Outstanding Shares”) as of October 26, 2010 based on the Company Form 10-Q for the period ended September 30, 2010.


As of the close of business on December 31, 2010, the following shares were owned by the Reporting Persons:

BCVF owned 472,733 shares of Common Stock of the Company, representing approximately 3.83% of the Company’s Outstanding Shares. BCVF acts by and through its general partner, BVP. BVP acts by and through its general partner, BCVI. Mr. Krupka is the managing member of BCVI.

BCIP III LLC owned 67,230 shares of Common Stock of the Company, representing approximately 0.54% of the Outstanding Shares. BCIP III LLC acts by and through its manager and sole member, BCIP III. BCIP III acts by and through its managing partner, BCI. BCVI is attorney-in-fact of BCI.

BCIP III-B LLC owned 1,479 shares of Common Stock of the Company, representing approximately 0.01% of the Outstanding Shares. BCIP III-B LLC acts by and through its manager and sole member, BCIP III-B. BCIP III-B acts by and through its managing partner, BCI. BCVI is attorney-in-fact of BCI.

No person other than the respective owner referred to herein of shares of Common Stock is known to have the right to receive or the power to direct the receipt of dividends from or the proceeds from the sale of such shares of Common Stock of the Company.

 

Item 4(b). Percent of Class

See Item 4(a) hereof.

 

Item 4(c). Number of shares as to which such person has:

 

  (i) sole power to vote or to direct the vote:

 

BCVF

     472,733   

BCIP III LLC

     67,230   

BCIP III-B LLC

     1,479   

 

  (ii) shared power to vote or to direct the vote: 0

 

  (iii) sole power to dispose or to direct the disposition of:

 

BCVF

     472,733   

BCIP III LLC

     67,230   

BCIP III-B LLC

     1,479   

 

  (iv) shared power to dispose or to direct the disposition of: 0

 

Item 5. Ownership of Five Percent or Less of a Class

Not Applicable.

 

Item 6. Ownership of More than Five Percent on Behalf of Another Person

Not Applicable.


Item 7. Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company:

Not Applicable.

 

Item 8. Identification and Classification of Members of the Group

Not Applicable.

 

Item 9. Notice of Dissolution of Group

Not Applicable.

 

Item 10. Certification

Not Applicable


SIGNATURES

After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this Statement is true, complete and correct.

Dated: February 14, 2011

 

BAIN CAPITAL VENTURE FUND 2005, L.P.

By Bain Capital Venture Partners 2005, L.P., its general partner

By Bain Capital Venture Investors, LLC, its general partner

BCIP ASSOCIATES III, LLC
By BCIP Associates III, its sole member
By Bain Capital Investors, LLC, its managing partner

By Bain Capital Venture Investors, LLC, its attorney-in-fact

BCIP ASSOCIATES III-B, LLC
By BCIP Associates III-B, its sole member
By Bain Capital Investors, LLC, its managing partner

By Bain Capital Venture Investors, LLC, its attorney-in-fact

By:  

/s/ Michael Krupka

  Michael Krupka
  Managing Director


Exhibit A

Agreement Regarding the Joint Filing of Schedule 13G

The undersigned hereby agree as follows:

(i) Each of them is individually eligible to use the Schedule 13G to which this Exhibit is attached, and such Schedule 13G is filed on behalf of each of them; and

(ii) Each of them is responsible for the timely filing of such Schedule 13G and any amendments thereto, and for the completeness and accuracy of the information concerning such person contained therein; but none of them is responsible for the completeness or accuracy of the information concerning the other persons making the filing, unless such person knows or has reason to believe that such information is inaccurate.

Dated: February 14, 2011


BAIN CAPITAL VENTURE FUND 2005, L.P.

By Bain Capital Venture Partners 2005, L.P., its general partner

By Bain Capital Venture Investors, LLC, its general partner

BCIP ASSOCIATES III, LLC
By BCIP Associates III, its sole member
By Bain Capital Investors, LLC, its managing partner

By Bain Capital Venture Investors, LLC, its attorney-in-fact

BCIP ASSOCIATES III-B, LLC
By BCIP Associates III-B, its sole member
By Bain Capital Investors, LLC, its managing partner

By Bain Capital Venture Investors, LLC, its attorney-in-fact

By:  

/s/ Michael Krupka

  Michael Krupka
  Managing Director
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