SEC FORM
4
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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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*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Vanda Pharmaceuticals Inc.
[ VNDA ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 04/18/2006
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4. 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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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
04/18/2006 |
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C |
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300,841
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A |
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300,841
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I |
See Footnote
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Common Stock |
04/18/2006 |
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C |
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738,108
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A |
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738,108
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I |
See Footnote
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Common Stock |
04/18/2006 |
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C |
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708,258
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A |
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708,258
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I |
See Footnote
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Common Stock |
04/18/2006 |
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C |
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655,485
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A |
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655,485
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I |
See Footnote
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series B Preferred Stock |
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04/18/2006 |
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C |
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995,716 |
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Common Stock |
300,841
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0 |
I |
See Footnote
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Series B Preferred Stock |
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04/18/2006 |
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C |
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2,442,961 |
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Common Stock |
738,108
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0 |
I |
See Footnote
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Series B Preferred Stock |
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04/18/2006 |
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C |
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2,344,164 |
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Common Stock |
708,258
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0 |
I |
See Footnote
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Series B Preferred Stock |
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04/18/2006 |
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C |
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2,169,502 |
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Common Stock |
655,485
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0 |
I |
See Footnote
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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1. Name and Address of Reporting Person*
CARNEGIE HALL TOWER |
152 WEST 57TH STREET, 23RD FLOOR |
(Street)
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Explanation of Responses: |
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/s/ Jeffrey Martin, Authorized Signatory |
04/18/2006 |
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** 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. |
Exhibit 24
POWER OF ATTORNEY
Jeffrey Martin has
signed certain of these documents as an Authorized
Signatory. Note that
copies of the applicable Statement Appointing Designated
Filer and
Authorized Signatories are already on file with the appropriate
agencies.
Exhibit 99
JOINT FILER INFORMATION
Joint Filer
Name: Rho Management Ventures IV, L.L.C.
Relationship to
Issuer: 10% Owner
Address: Carnegie Hall Tower, 152 West
57th
Street, 23rd Floor
Designated Filer: Rho
Ventures IV, L.P.
Date of Event Requiring
Statement: April
18, 2006
Issuer Name and Ticker or
Trading Symbol: Vanda
Pharmaceuticals Inc. (VNDA)
Signature Rho Management Ventures
IV, L.L.C.
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin,
Authorized Signatory
Joint Filer Name: Rho Management
Trust I
Relationship to Issuer: 10% Owner
Address:
Carnegie Hall Tower, 152 West 57th
Street, 23rd Floor
Designated Filer: Rho Ventures IV, L.P.
Date of Event
Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or
Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Rho Management Trust I
By: Rho Capital
Partners, Inc. Trustee
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin,
Authorized Signatory
Joint Filer Name: Rho Ventures IV
(QP), L.P.
Relationship to Issuer: 10% Owner
Address:
Carnegie Hall Tower, 152 West 57th
Street, 23rd Floor
Designated Filer: Rho Ventures IV, L.P.
Date of Event
Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or
Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Rho Ventures IV (QP), L.P.
By: Rho
Management Ventures IV, L.L.C.
Its General Partner
By: /s/ Jeffrey Martin
---------------------------------
Jeffrey Martin, Authorized Signatory
Joint Filer
Name: Rho Ventures IV GmbH & Co. Beteiligungs KG
Relationship to
Issuer: 10% Owner
Address: Carnegie Hall Tower, 152 West
57th
Street, 23rd Floor
Designated Filer: Rho
Ventures IV, L.P.
Date of Event Requiring
Statement: April
18, 2006
Issuer Name and Ticker or
Trading Symbol: Vanda
Pharmaceuticals Inc. (VNDA)
Signature Rho Ventures IV GmbH
& Co. Beteiligungs KG
By: Rho Capital Partners
Verwaltungs GmbH
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory
Joint Filer Name: Rho Capital Partners
Verwaltungs GmbH
Relationship to Issuer: 10% Owner
Address: Carnegie Hall Tower, 152 West 57th
Street,
23rd Floor
Designated Filer: Rho Ventures IV, L.P.
Date of
Event Requiring
Statement: April 18, 2006
Issuer Name and
Ticker or
Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Rho Capital Partners Verwaltungs GmbH
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory
Joint Filer Name: Rho Capital Partners, Inc.
Relationship to Issuer: 10% Owner
Address: Carnegie
Hall Tower, 152 West 57th
Street, 23rd Floor
Designated
Filer: Rho Ventures IV, L.P.
Date of Event Requiring
Statement: April 18, 2006
Issuer Name and Ticker or
Trading
Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Rho
Capital Partners, Inc.
By: Rho Capital Partners, Inc.
Trustee
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory
Joint Filer Name: Mark Leschly
Relationship to Issuer: 10% Owner
Address: Carnegie Hall
Tower, 152 West 57th
Street, 23rd Floor
Designated
Filer: Rho Ventures IV, L.P.
Date of Event Requiring
Statement: April 18, 2006
Issuer Name and Ticker or
Trading
Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature
Mark Leschly
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory
Joint Filer Name: Habib Kairouz
Relationship to Issuer: 10% Owner
Address: Carnegie Hall
Tower, 152 West 57th
Street, 23rd Floor
Designated
Filer: Rho Ventures IV, L.P.
Date of Event Requiring
Statement: April 18, 2006
Issuer Name and Ticker or
Trading
Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Habib
Kairouz
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory
Joint Filer Name: Joshua Ruch
Relationship to Issuer: 10% Owner
Address: Carnegie Hall
Tower, 152 West 57th
Street, 23rd Floor
Designated
Filer: Rho Ventures IV, L.P.
Date of Event Requiring
Statement: April 18, 2006
Issuer Name and Ticker or
Trading
Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature
Joshua Ruch
By: /s/ Jeffrey Martin
- ---------------------------------
Jeffrey Martin, Authorized
Signatory