COMBINATORX, INC·3

Nov 9, 1:46 PM ET

MOLLER CHRISTOPHER 3

3 · COMBINATORX, INC · Filed Nov 9, 2005

Insider Transaction Report

Form 3
Period: 2005-11-09
Holdings
  • Series C Preferred Stock

    (indirect: See footnote)
    Common Stock (748,951 underlying)
  • Series D Preferred Stock

    (indirect: See footnote)
    Common Stock (145,680 underlying)
  • Series B Preferred Stock

    (indirect: See footnote)
    Common Stock (834,224 underlying)
Footnotes (6)
  • [F1]Immediately
  • [F2]N/A
  • [F3]All of the outstanding shares of the Issuer's Series B Convertible Preferred Stock will convert into 0.64 share of common stock automatically upon the closing of the Issuer's initial public offering.
  • [F4]All of the outstanding shares of the Issuer's Series C and Series D Convertible Preferred Stock will convert into 0.57 share of common stock automatically upon the closing of the Issuer's initial public offering.
  • [F5]Shares are held by TL Ventures V L.P. ("TL V"). Christopher Moller, Ph.D., together with the other members of the executive board of TL Ventures V LLC ("TLV LLC"), the general partner of TL Ventures V Management L.P. (the general partner of TL V) may be deemed to share voting and dispositive power over the shares held by TL V. Christopher Moller, Ph.D. disclaims beneficial ownership of shares held by TL V except to the extent of any pecuniary interest therein.
  • [F6]Shares are held by TL Ventures V Interfund L.P. ("TL V Interfund"). Christopher Moller, Ph.D., together with the other members of the executive board of TLV LLC, the general partner of TL V Interfund, may be deemed to share voting and dispositive power over the shares held by TL V Interfund. Christopher Moller, Ph.D. disclaims beneficial ownership of shares held by TL V Interfund except to the extent of any pecuniary interest therein.

Documents

1 file
  • 3
    rrd96547.xmlPrimary

    FORM 3