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*
435 TASSO STREET |
SUITE 200 |
(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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2,366,655
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A |
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2,366,655
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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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36,040
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A |
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36,040
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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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7,833,056 |
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Common Stock |
2,366,655
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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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119,286 |
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Common Stock |
36,040
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0 |
I |
See Footnote
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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Explanation of Responses: |
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/s/ James B. Tananbaum, M.D., 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
James
B. Tananbaum, M.D. 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:
Prospect Venture Partners II, L.P.
Relationship to Issuer: 10% Owner
Address: 435 Tasso Street, Suite 200, Palo Alto, CA 94301
Designated Filer: Prospect Management Co. II, L.L.C.
Date of Event
Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature
Prospect Venture Partners II, L.P.
By: Prospect Management Co.
II, L.L.C.
Its General Partner
By: /s/ James B.
Tananbaum, M.D.
- --------------------------------------------------
James B.
Tananbaum, M.D., Authorized Signatory
Joint Filer Name:
Prospect Associates II, L.P.
Relationship to Issuer: 10% Owner
Address: 435 Tasso Street, Suite 200, Palo Alto, CA
94301
Designated Filer: Prospect Management Co. II, L.L.C.
Date of Event
Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature
Prospect Associates II, L.P.
By: Prospect Management Co. II,
L.L.C.
Its General Partner
By: /s/ James B.
Tananbaum, M.D.
- --------------------------------------------------
James B.
Tananbaum, M.D., Authorized Signatory
Joint Filer Name: David
Schnell, M.D.
Relationship to Issuer: 10% Owner
Address: 435
Tasso Street, Suite 200, Palo Alto, CA 94301
Designated Filer:
Prospect Management Co. II, L.L.C.
Date of Event Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or Trading
Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature David
Schnell, M.D.
By: /s/ James B. Tananbaum, M.D.
- --------------------------------------------------
James B.
Tananbaum, Authorized Signatory
Joint Filer Name: Alex Barkas,
Ph.D.
Relationship to Issuer: 10% Owner
Address: 435 Tasso
Street, Suite 200, Palo Alto, CA 94301
Designated Filer: Prospect
Management Co. II, L.L.C.
Date of Event Requiring
Statement:
April 18, 2006
Issuer Name and Ticker
or Trading Symbol: Vanda
Pharmaceuticals Inc. (VNDA)
Signature Alex Barkas, Ph.D.
By: /s/ James B. Tananbaum, M.D.
- --------------------------------------------------
James B.
Tananbaum, M.D., Authorized Signatory
Joint Filer Name:
Russell Hirsch, M.D.
Relationship to Issuer: 10% Owner
Address: 435 Tasso Street, Suite 200, Palo Alto, CA
94301
Designated Filer: Prospect Management Co. II, L.L.C.
Date of Event
Requiring
Statement: April 18, 2006
Issuer Name and Ticker
or Trading Symbol: Vanda Pharmaceuticals Inc. (VNDA)
Signature Russell Hirsch, M.D.
By: /s/ James B.
Tananbaum, M.D.
- --------------------------------------------------
James B.
Tananbaum, Authorized Signatory