Kopchinsky Gregory SEC Form 3/A Filed November 17, 2005: Amendment to initial statement of beneficia... Last Updated June 1, 2026 at 1:47 PM EDT
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SEC FORM 3/A 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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1. Name and Address of Reporting Person*
Canaan Equity Partners II LLC
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/09/2005 		3. Issuer Name and Ticker or Trading Symbol
COMBINATORX, INC [ CRXX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
11/09/2005
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series B Redeemable Convertible Preferred Stock (1) (2) Common Stock 1,110,300(3) (4) I See Footnote(3)(5)
1. Name and Address of Reporting Person*
Canaan Equity Partners II LLC
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
CANAAN EQUITY II LP
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
Canaan Equity II, L.P. (QP)
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
CANAAN EQUITY II ENTREPRENEURS LLC
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
BALEN JOHN V
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
FURNIVALL JAMES C
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
GREEN L STEPHEN
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
DEEPAK KAMRA
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
KOPCHINSKY GREGORY
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
1. Name and Address of Reporting Person*
RUSSO GUY M
(Last) (First) (Middle)
C/O CANAAN PARTNERS
105 ROWAYTON AVENUE
(Street)
ROWAYTON CT 06853
(City) (State) (Zip)
Explanation of Responses:
1. Immediately exercisable.
2. Not applicable.
3. The aggregate number of shares of Common Stock, and related beneficial ownership of such shares, was incorrectly reported in the reporting person's Form 3 filed on November 9, 2005.
4. Each share of the Series B Redeemable Convertible Preferred Stock will convert automatically into 0.636181046676096 shares of Common Stock upon the closing of the Issuer's initial public offering.
5. Consists of 727,200 shares held by Canaan Equity II L.P.; 325,350 shares held by Canaan Equity II L.P. (QP) and 57,750 shares held by Canaan Equity II Entrepeneurs LLC. John V. Balen, James C. Furnivall, Stephen L. Green, Deepak Kamra, Gregory Kopchinsky, Guy M. Russo, Eric A. Young, Charmers Landing LLC, Stonehenge LLC and Waubeeka LLC are Managers of Canaan Equity Partners II LLC, the General Partner or Manager of these funds, which individuals may be deemed to have shared voting, investment and dispositive power with respect to these shares, but disclaim beneficial ownership of all shares except to the extent of any pecuniary interest therein.
/s/ John D. Lambrech as Attorney in Fact 11/15/2005
** 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.

Attachments (1)

EX-99 — ADDITIONAL EXHIBITS inline

View filing index on SEC.gov ↗

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