10-12B/A 1 d1012ba.htm AMENDMENT #3 TO FORM 10 Amendment #3 to Form 10

As filed with the Securities and Exchange Commission on June 8, 2009

File No. 001-34275

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

AMENDMENT NO. 3

TO

Form 10

GENERAL FORM FOR REGISTRATION OF SECURITIES

PURSUANT TO SECTION 12(b) OR 12(g) OF

THE SECURITIES EXCHANGE ACT OF 1934

Myriad Pharmaceuticals, Inc.

(Exact Name of Registrant as Specified in Its Charter)

 

Delaware   26-3996918

(State or Other Jurisdiction of

Incorporation or Organization)

 

(I.R.S. Employer

Identification No.)

320 Wakara Way, Salt Lake City, Utah   84108
(Address of Principal Executive Offices)   (Zip Code)

(801) 584-3600

(Registrant’s telephone number, including area code)

Securities to be registered pursuant to Section 12(b) of the Act:

 

Title of each class

to be so registered

  

Name of each exchange on which

each class is to be registered

Common Stock, par value $0.01 per share

   The NASDAQ Stock Market LLC

Securities to be registered pursuant to Section 12(g) of the Act:

None

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer  ¨    Accelerated filer  ¨    Non-accelerated filer   x    Smaller Reporting Company  ¨
      (Do not check if a smaller reporting company)   

 

 

 


INFORMATION REQUIRED IN REGISTRATION STATEMENT

CROSS-REFERENCE SHEET BETWEEN INFORMATION STATEMENT AND

ITEMS OF FORM 10

Our information statement is filed as Exhibit 99.1 to this Form 10. For your convenience, we have provided below a cross-reference sheet identifying where the items required by Form 10 can be found in the information statement.

 

Item No.

  

Caption

  

Location in Information Statement

Item 1.

   Business    See “Summary,” “The Separation,” “Capitalization,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Business” and “Certain Relationships and Related Party Transactions”

Item 1A.

   Risk Factors    See “Risk Factors”

Item 2.

   Financial Information    See “Summary — Summary Historical Financial Data,” “Capitalization,” “Selected Historical Financial Data,” “Unaudited Pro Forma Combined Financial Statements” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations”

Item 3.

   Properties    See “Business — Facilities”

Item 4.

   Security Ownership of Certain Beneficial Owners and Management    See “Security Ownership of Certain Beneficial Owners and Management”

Item 5.

   Directors and Executive Officers    See “Management”

Item 6.

   Executive Compensation    See “Executive Compensation”

Item 7.

   Certain Relationships and Related Transactions, and Director Independence    See “Management” and “Certain Relationships and Related Party Transactions”

Item 8.

   Legal Proceedings    See “Business — Legal Proceedings”

Item 9.

   Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters    See “Summary” and “Dividend Policy”

Item 10.

   Recent Sales of Unregistered Securities    Not Applicable

Item 11.

   Description of Registrant’s Securities to be Registered    See “The Separation,” “Dividend Policy” and “Description of Capital Stock”

Item 12.

   Indemnification of Directors and Officers    See “Management” and “Description of Capital Stock”

Item 13.

   Financial Statements and Supplementary Data    See “Unaudited Pro Forma Combined Financial Statements” and “Index to Financial Statements of Myriad Pharmaceuticals, Inc.” and the statements referenced therein


Item 14.

   Changes in and Disagreements with Accountants on Accounting and Financial Disclosure    Not Applicable

Item 15.

   Financial Statements and Exhibits    See “Unaudited Pro Forma Combined Financial Statements” and “Index to Financial Statements of Myriad Pharmaceuticals, Inc.” and the statements referenced therein

(a) List of Financial Statements and Schedules

The following financial statements are included in the Information Statement and filed as part of this Registration Statement on Form 10:

 

  (1) Unaudited Pro Forma Combined Financial Statements of Myriad Pharmaceuticals, Inc., and

 

  (2) Financial Statements of Myriad Pharmaceuticals, Inc., including Report of Independent Registered Public Accounting Firm

 

  (b) Exhibits

The following documents are filed as exhibits hereto unless otherwise indicated:

 

Exhibit No.

  

Exhibit Description

    $2.1

   Form of Separation and Distribution Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

    †3.1

   Amended and Restated Certificate of Incorporation of Myriad Pharmaceuticals, Inc.

   3.1.1

   Form of Certificate of Designation, Preferences and Rights of Series A Junior Participating Preferred Stock to be effective prior to consummation of the separation.

    †3.2

   Amended and Restated Bylaws of Myriad Pharmaceuticals, Inc.

      4.1

   Form of Common Stock Certificate of Myriad Pharmaceuticals, Inc.

      4.2

   Form of Shareholder Rights Agreement by and between Myriad Pharmaceuticals, Inc. and American Stock Transfer & Trust Company, LLC, as Rights Agent, to be entered into prior to consummation of the separation.

  †10.1

   Form of Sublease Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

  $10.2

   Form of Tax Sharing Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

  †10.3

   Form of Employee Matters Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

$#10.4

   License and Collaboration Agreement, dated November 19, 2003, by and among Myriad Genetics, Inc., Maxim Pharmaceuticals, Inc., and Cytovia, Inc. (now known as EpiCept Corporation).

$#10.5

   License Agreement, effective as of January 20, 2009, between the University of North Carolina at Chapel Hill and Myriad Pharmaceuticals, Inc.

    10.6

   Myriad Pharmaceuticals, Inc. 2009 Employee, Director and Consultant Equity Incentive Plan (the “2009 Plan”).

 10.6.1

   Form of Stock Option Agreement under the 2009 Plan.

 10.6.2

   Form of Restricted Stock Unit Agreement under the 2009 Plan.

 10.6.3

   Form of Incentive Stock Option Agreement under the 2009 Plan for Rollover Options issued under the Myriad Genetics, Inc. 2003 Employee, Director and Consultant Stock Option Plan, as amended (the “MGI 2003 Plan”).

 10.6.4

   Form of Non-Qualified Stock Option Agreement under the 2009 Plan for Rollover Options issued under the MGI 2003 Plan.

 10.6.5

   Form of Incentive Stock Option Agreement under the 2009 Plan for Rollover Options issued under the Myriad Genetics, Inc. 2002 Amended and Restated Employee, Director and Consultant Stock Option Plan (the “MGI 2002 Plan”).

 10.6.6

   Form of Non-Qualified Stock Option Agreement under the 2009 Plan for Rollover Options issued the MGI 2002 Plan.

    10.7

   Myriad Pharmaceuticals, Inc. 2009 Employee Stock Purchase Plan.

  $10.8

   Form of Indemnification Agreement to be entered into between Myriad Pharmaceuticals, Inc. and its directors and officers.

    10.9

   Myriad Pharmaceuticals, Inc. Non-Employee Director Compensation Policy.

    99.1

   Preliminary Information Statement of Myriad Pharmaceuticals, Inc., dated June 5, 2009.

 

$ Previously filed.

 

# Confidential treatment has been requested from the Commission as to certain portions of this exhibit.

 

Replaces previously filed exhibit.

 

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SIGNATURES

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.

 

MYRIAD PHARMACEUTICALS, INC.
By:   /s/ Adrian N. Hobden
  Name: Adrian N. Hobden, Ph.D.
  Title:   President and Chief Executive Officer

Dated: June 5, 2009

 

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EXHIBIT INDEX

 

Exhibit No.

  

Exhibit Description

    $2.1

   Form of Separation and Distribution Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

    †3.1

   Amended and Restated Certificate of Incorporation of Myriad Pharmaceuticals, Inc.

   3.1.1

   Form of Certificate of Designation, Preferences and Rights of Series A Junior Participating Preferred Stock to be effective prior to consummation of the separation.

    †3.2

   Amended and Restated Bylaws of Myriad Pharmaceuticals, Inc.

      4.1

   Form of Common Stock Certificate of Myriad Pharmaceuticals, Inc.

      4.2

   Form of Shareholder Rights Agreement by and between Myriad Pharmaceuticals, Inc. and American Stock Transfer & Trust Company, LLC, as Rights Agent, to be entered into prior to consummation of the separation.

  †10.1

   Form of Sublease Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

  $10.2

   Form of Tax Sharing Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

  †10.3

   Form of Employee Matters Agreement by and between Myriad Pharmaceuticals, Inc. and Myriad Genetics, Inc.

$#10.4

   License and Collaboration Agreement, dated November 19, 2003, by and among Myriad Genetics, Inc., Maxim Pharmaceuticals, Inc., and Cytovia, Inc. (now known as EpiCept Corporation).

$#10.5

   License Agreement, effective as of January 20, 2009, between the University of North Carolina at Chapel Hill and Myriad Pharmaceuticals, Inc.

    10.6

   Myriad Pharmaceuticals, Inc. 2009 Employee, Director and Consultant Equity Incentive Plan (the “2009 Plan”).

 10.6.1

   Form of Stock Option Agreement under the 2009 Plan.

 10.6.2

   Form of Restricted Stock Unit Agreement under the 2009 Plan.

 10.6.3

   Form of Incentive Stock Option Agreement under the 2009 Plan for Rollover Options issued under the Myriad Genetics, Inc. 2003 Employee, Director and Consultant Stock Option Plan, as amended (the “MGI 2003 Plan”).

 10.6.4

   Form of Non-Qualified Stock Option Agreement under the 2009 Plan for Rollover Options issued under the MGI 2003 Plan.

 10.6.5

   Form of Incentive Stock Option Agreement under the 2009 Plan for Rollover Options issued under the Myriad Genetics, Inc. 2002 Amended and Restated Employee, Director and Consultant Stock Option Plan (the “MGI 2002 Plan”).

 10.6.6

   Form of Non-Qualified Stock Option Agreement under the 2009 Plan for Rollover Options issued the MGI 2002 Plan.

    10.7

   Myriad Pharmaceuticals, Inc. 2009 Employee Stock Purchase Plan.

  $10.8

   Form of Indemnification Agreement to be entered into between Myriad Pharmaceuticals, Inc. and its directors and officers.

    10.9

   Myriad Pharmaceuticals, Inc. Non-Employee Director Compensation Policy.

    99.1

   Preliminary Information Statement of Myriad Pharmaceuticals, Inc., dated June 5, 2009.

 

$ Previously filed.

 

# Confidential treatment has been requested from the Commission as to certain portions of this exhibit.

 

Replaces previously filed exhibit.

 

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