FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/05/2005 |
3. Issuer Name and Ticker or Trading Symbol
AtriCure, Inc. [ ATRC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (1) | (1) | Common Stock | 1,022,035 | $0(1) | I | Directly held by USVP VIII(2) |
Series A Preferred Stock | (1) | (1) | Common Stock | 7,531 | $0(1) | I | Directly held by AFF VIII(2) |
Series A Preferred Stock | (1) | (1) | Common Stock | 9,575 | $0(1) | I | Directly held by EP VIII-A(2) |
Series A Preferred Stock | (1) | (1) | Common Stock | 5,137 | $0(1) | I | Directly held by EP VIII-B(2) |
Series B Preferred Stock | (1) | (1) | Common Stock | 1,440,854 | $0(1) | I | Directly held by USVP VIII(2) |
Series B Preferred Stock | (1) | (1) | Common Stock | 10,617 | $0(1) | I | Directly held by AFF VIII(2) |
Series B Preferred Stock | (1) | (1) | Common Stock | 13,498 | $0(1) | I | Directly held by EP VIII-A(2) |
Series B Preferred Stock | (1) | (1) | Common Stock | 7,242 | $0(1) | I | Directly held by EP VIII-B(2) |
Warrant | 08/05/2005 | 08/05/2006 | Common Stock | 92,773 | $5.43 | I | Directly held by USVP VIII(2) |
Warrant | 08/05/2005 | 08/05/2006 | Common Stock | 683 | $5.43 | I | Directly held by AFF VIII(2) |
Warrant | 08/05/2005 | 08/05/2006 | Common Stock | 869 | $5.43 | I | Directly held by EP VIII-A(2) |
Warrant | 08/05/2005 | 08/05/2006 | Common Stock | 466 | $5.43 | I | Directly held by EP VIII-B(2) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The shares of Preferred Stock shall convert on a 1-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering. |
2. See additional Form 4 filed by Presidio Management Group VIII, LLC ("PMG VIII") for additional members of this joint filing. PMG VIII is the general partner of US Venture Partners VIII, L.P. ("USVP VIII"), USVP Entrepreneur Partners VIII-A, L.P. ("EP VIII-A"), USVP Entrepreneur Partners VIII-B, L.P. ("EP VIII-B"), and USVP VIII Affiliates Fund, L.P. ("AFF VIII"), and Timmothy Connors, Irwin Federman, Winston S. Fu, Steven M. Krausz, David E. Liddle, Stuart G. Phillips, Jonathan D. Root, Christopher Rust, and Philip M. Young, the managing members of PMG VIII, may be deemed to share voting and dispositive power over the shares held by USVP VIII, EP VIII-A, EP VIII-B and AFF VIII. Such persons and entities disclaim beneficial ownership of shares held by USVP VIII, EP VIII-A, EP VIII-B and AFF VIII except to the extent of any pecuniary interest therein. |
Remarks: |
Michael P. Maher, Attorney-in-fact for each joint filer | 08/08/2005 | |
** 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 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |