SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/12/2006
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3. Issuer Name and Ticker or Trading Symbol
Vanda Pharmaceuticals Inc.
[ VNDA ]
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4. 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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5. 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 Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series B Preferred Stock |
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Common Stock |
2,366,655
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I |
See Footnote
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Series B Preferred Stock |
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Common Stock |
36,040
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I |
See Footnote
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1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
|
1. Name and Address of Reporting Person*
435 TASSO STREET |
SUITE 200 |
(Street)
|
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 |
04/12/2006 |
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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
5
(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
STATEMENT APPOINTING DESIGNATED FILER AND
AUTHORIZED SIGNATORY
APRIL 12, 2006
Each of the entities
listed on SCHEDULE A attached hereto
(each a "Reporting Entity") and
each party listed on SCHEDULE B
attached hereto (each a "Reporting
Individual"; together with the
Reporting Entities, the "Reporting
Persons") hereby authorizes and
designates Prospect Management Co. II,
L.L.C. (the "Designated
Filer"), to prepare and file on behalf of such
Reporting Person
individually, or jointly together with other Reporting
Persons,
any and all reports, notices, communications and other
documents
(including, but not limited to, reports on Schedule 13D,
Schedule
13G, Form 3, Form 4 and Form 5) that such Reporting Person may
be
required to file with the United States Securities and Exchange
Commission or with any regulatory body, including United States
federal, state and self-regulatory bodies, with respect to the
Reporting Person's ownership of, or transactions in, the
securities of
any entity whose securities are beneficially owned
(directly or
indirectly) by such Reporting Person (collectively,
the "Reports").
Each Reporting Person hereby further authorizes and
designates James
B. Tananbaum (the "Authorized Signatory") to
execute and file on behalf
of such Reporting Person the Reports
and to perform any and all other
acts, which in the opinion of a
Designated Filer or such Authorized
Signatory may be necessary or
incidental to the performance of the
foregoing powers herein
granted.
The authority of the Designated
Filer and Authorized
Signatory under this document with respect to each
Reporting
Person shall continue until such Reporting Person is no longer
required to file any Reports with respect to the Reporting
Person's
ownership of, or transactions in, securities, unless
earlier revoked in
writing. Each Reporting Person acknowledges
that the Designated Filer
and the Authorized Signatory are not
assuming any of the Reporting
Person's responsibilities to comply
with any United States federal or
state law or with any
regulations promulgated thereto.
SCHEDULE A
Prospect Venture Partners II, L.P.
Prospect Associates II, L.P.
Prospect Management Co. II, L.L.C.
SCHEDULE B
David Schnell,
M.D.
Alex Barkas, Ph.D.
Russell Hirsch, M.D.
In Witness
Whereof, the undersigned have caused this Statement Appointing
Designated Filer and Authorized Signatory to be effective as of April 12,
2006.
Reporting Persons:
April 12, 2006
/s/
David Schnell, M.D.
-----------------------------
David Schnell, M.D.
April 12, 2006
/s/ Alex
Barkas, Ph.D.
-----------------------------
Alex
Barkas, Ph.D.
April 12, 2006
/s/ Russell Hirsch, M.D.
-----------------------------
Russell Hirsch, M.D.
April 12, 2006
Prospect Venture Partners II, L.P.
By: Prospect Management Co. II, L.L.C.
Its
General Partner
/s/ James B. Tananbaum, M.D.
- ------------------------------------
James B. Tananbaum,
Managing Member
April 12, 2006
Prospect Associates
II, L.P.
By: Prospect Management Co. II, L.L.C.
Its General Partner
/s/ James B. Tananbaum,
M.D.
------------------------------------
James
B. Tananbaum, Managing Member
April 12, 2006
Prospect
Management Co. II, L.L.C.
/s/ James B. Tananbaum, M.D.
------------------------------------
James B.
Tananbaum, Managing Member
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 12, 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 12, 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 12, 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 12, 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 12, 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