SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LESCHLY MARK

(Last) (First) (Middle)
C/O RHO VENTURES,
152 WEST 57TH STREET, 23RD FLOOR

(Street)
NEW YORK NY 10019

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NITROMED INC [ NTMD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/14/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 04/14/2004 C 24,118(1) A $0.01 5,469,333 I See Footnote(2)
Common Stock 04/14/2004 M 12,500 A $0.72 12,500 D
Common Stock 04/14/2004 M 3,750 A $1.3 16,250 D
Common Stock 04/14/2004 M 2,500 A $2 18,750 D
Common Stock 04/14/2004 M 1,250 A $2 20,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,222 11/05/2003 10/17/2006 Common Stock 1,222 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,222 11/05/2003 11/14/2006 Common Stock 1,222 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,222 11/05/2003 12/17/2006 Common Stock 1,222 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,222 11/05/2003 02/10/2007 Common Stock 1,222 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 569 11/05/2003 07/26/2004 Common Stock 569 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,897 11/05/2003 07/27/2004 Common Stock 1,897 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 953 11/05/2003 09/19/2004 Common Stock 953 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,423 11/05/2003 10/11/2004 Common Stock 1,423 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,423 11/05/2003 10/28/2004 Common Stock 1,423 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 366 11/05/2003 01/13/2005 Common Stock 366 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 305 11/05/2003 02/17/2005 Common Stock 305 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 435 11/05/2003 03/13/2005 Common Stock 435 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 611 11/05/2003 12/20/2004 Common Stock 611 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,212 11/05/2003 02/07/2006 Common Stock 1,212 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,734 11/05/2003 06/20/2005 Common Stock 1,734 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 867 11/05/2003 07/13/2005 Common Stock 867 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 867 11/05/2003 06/20/2005 Common Stock 867 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 867 11/05/2003 09/27/2005 Common Stock 867 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 867 11/05/2003 10/27/2005 Common Stock 867 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,190 11/05/2003 01/10/2006 Common Stock 1,190 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 1,222 11/05/2003 09/30/2006 Common Stock 1,222 $0 0 I See Footnote(2)
Common Stock Purchase Warrant (right to buy) $0.01 04/14/2004 C 2,464 11/05/2003 06/11/2006 Common Stock 2,464 $0 0 I See Footnote(2)
Non-Qualified Stock Option (Right to buy) $0.72 04/14/2004 M 12,500 03/17/2003 03/17/2009 Common Stock 12,500 $0 0 D
Non-Qualified Stock Option (Right to buy) $1.3 04/14/2004 M 3,750 (3) 11/14/2010 Common Stock 3,750 $0 1,250 D
Non-Qualified Stock Option (Right to buy) $2 04/14/2004 M 2,500 (4) 11/20/2011 Common Stock 2,500 $0 2,500 D
Non-Qualified Stock Option (Right to buy) $2 04/14/2004 M 1,250 (5) 11/20/2012 Common Stock 1,250 $0 3,750 D
Explanation of Responses:
1. See Exhibit 99.1 attached hereto.
2. See Exhibit 99.1 attached hereto.
3. See Exhibit 99.1 attached hereto.
4. See Exhibit 99.1 attached hereto.
5. See Exhibit 99.1 attached hereto.
/s/ Jeffrey I. Martin, Authorized Signer 04/15/2004
** 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.
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