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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Tercica (MM) | NASDAQ:TRCA | NASDAQ | Common Stock |
Price Change | % Change | Share Price | Bid Price | Offer Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|---|---|
0.00 | 0.00% | 8.97 | 0 | 00:00:00 |
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
|
OMB APPROVAL
OMB Number: 3235-0287 Expires: February 28, 2011 Estimated average burden hours per response... 0.5 |
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Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person
*
Ipsen, S.A. |
2. Issuer Name
and
Ticker or Trading Symbol
TERCICA INC [ TRCA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __ X __ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
C/O GENERAL COUNSEL, 42, RUE DU DOCTEUR BLANCHE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
|
|
PARIS, I0 75016 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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, PAR VALUE $0.001 | 7/22/2008 | P | 410831 | A | $8.92 | 929932 (1) | D | |||
COMMON STOCK, PAR VALUE $0.001 | 7/22/2008 | C | 3531687 (2) | A | $25037000 | 4461619 | D | |||
COMMON STOCK, PAR VALUE $0.001 | 7/22/2008 | C | 5175652 (2) | A | $47337000 (3) | 9637271 | D | |||
COMMON STOCK, PAR VALUE $0.001 | 7/22/2008 | C | 2067467 (2) | A | $15000000 | 11704738 | D | |||
COMMON STOCK, PAR VALUE $0.001 | 7/22/2008 | C | 4948795 | A | $7.41 | 16653533 | D |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any |
4. Trans. 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 |
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 of Derivative Security: 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 | ||||||||
FIRST SENIOR CONVERTIBLE PROMISSORY NOTE | $7.41 | 7/22/2008 | C | 1 | (4) | (4) | COMMON STOCK | 3531687 | $0 | 3531687 | D | ||||
SECOND SENIOR CONVERTIBLE PROMISSORY NOTE | $9.34 (5) | 7/22/2008 | C | 1 | (4) | (4) | COMMON STOCK | 5175652 | $0 | 5175652 | D | ||||
THIRD SENIOR CONVERTIBLE PROMISSORY NOTE | $7.41 | 7/22/2008 | C | 1 | (4) | (4) | COMMON STOCK | 2067467 | $0 | 2067467 | D | ||||
WARRANT | $7.41 | 7/22/2008 | C | 1 | (6) | (6) | COMMON STOCK | 4948795 | $0 | 4948795 | D |
Explanation of Responses: | |
( 1) | This figure includes 519,101 shares of Common Stock acquired by the reporting person on July 30, 2007. |
( 2) | This figure is derived by dividing a conversion amount, which includes the corresponding conversion price in Table I and outstanding interest, by the corresponding conversion price in Table II. |
( 3) | This figure represents the U.S. dollar amount of the outstanding principal of the EUR denominated face amount as determined by applying the Dollar/Euro conversion rate for July 22, 2008 as quoted at 4 p.m. ET by Reuters on July 22, 2008. |
( 4) | Prior to the conversion of the Senior Convertible Promissory Notes (each a "Convertible Note"), each Convertible Note was subject to conversion at any time until the later of (i) the expiration of a five-year period commencing on October 13, 2006 or (ii) two years following the date on which the holder provided notice that it would not convert the Convertible Note in full. |
( 5) | This figure represents the U.S. dollar amount of the EUR denominated exercise price as determined by applying the Dollar/Euro conversion rate for July 22, 2008 as quoted at 4 p.m. ET by Reuters on July 22, 2008. |
( 6) | Prior to its exercise, the Warrant was exercisable at any time until the expiration of a five-year period commencing on October 13, 2006. |
Remarks:
Ipsen, S.A. ("Ipsen") is the reporting person in connection with this filing,. Suraypharm S.A.S. (a wholly owned indirect subsidiary) is also a party to that certain Common Stock Purchase Agreement pursuant to which the shares reported in column 4 of Table I were purchased. The aggregate number of shares of Common Stock reflected in table I is 16,653,533 shares of Common Stock beneficially owned by the reporting person as of July 22, 2008. Rows 2-5 in Table I represent the Common Stock acquired as a result of the transactions reported in Table II and such shares of Common Stock in Table I should not be aggregated with the shares of Common Stock reported in columns 7 and 9 in Table II. |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Ipsen, S.A.
C/O GENERAL COUNSEL 42, RUE DU DOCTEUR BLANCHE PARIS, I0 75016 |
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X |
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Signatures
|
||
/s/ Willy Mathot | 7/23/2008 | |
** Signature of Reporting Person |
Date
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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 control number. |
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