1. Name and Address of Reporting Person*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
Carbylan Therapeutics, Inc.
[ CBYL ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
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3. Date of Earliest Transaction
(Month/Day/Year) 04/14/2015
|
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 |
|
1. Name and Address of Reporting Person*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
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*
C/O INTERWEST PARTNERS |
2710 SAND HILL ROAD, SUITE 200 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
By: /s/ W. Stephen Holmes, as managing director of InterWest Management Partners IX, LLC |
04/14/2015 |
|
By: /s/ W. Stephen Holmes, as managing director of InterWest Management Partners IX, LLC, the General Partner of InterWest Partners IX, L.P. |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Philip T. Gianos |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Arnold L. Oronsky |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Gilbert H. Kliman |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for W. Stephen Holmes |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Nina Kjellson |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Douglas Pepper |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Bruce Cleveland |
04/14/2015 |
|
By: /s/ Karen A. Wilson, Attorney-in-Fact for Khaled Nasr |
04/14/2015 |
|
** 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). |
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. |