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*
3000 SAND HILL ROAD, BUILDING FOUR |
SUITE 210 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FLUIDIGM CORP
[ FLDM ]
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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) 02/15/2011
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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 |
02/15/2011 |
02/15/2011 |
C
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81,396 |
A |
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1,042,686 |
I |
See Footnotes
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Common Stock |
02/15/2011 |
02/15/2011 |
C
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164 |
A |
$0.02
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1,042,850 |
I |
See Footnotes
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Common Stock |
02/15/2011 |
02/15/2011 |
C
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346 |
A |
$0.02
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1,043,196 |
I |
See Footnotes
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Common Stock |
02/15/2011 |
02/15/2011 |
C
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148 |
A |
$0.02
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1,043,344 |
I |
See Footnotes
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Common Stock |
02/15/2011 |
02/15/2011 |
C
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7,596 |
A |
$0.02
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1,050,940 |
I |
See Footnotes
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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 D Preferred Stock |
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02/15/2011 |
02/15/2011 |
C |
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81,396 |
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Common Stock |
81,396 |
$0
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8,254 |
I |
See Footnotes
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Series E-1 Preferred Stock |
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02/15/2011 |
02/15/2011 |
C |
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164 |
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Common Stock |
164 |
$0
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8,090 |
I |
See Footnotes
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Series E Preferred Stock |
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02/15/2011 |
02/15/2011 |
C |
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346 |
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Common Stock |
346 |
$0
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7,744 |
I |
See Footnotes
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Series E Preferred Stock |
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02/15/2011 |
02/15/2011 |
C |
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148 |
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Common Stock |
544 |
$0
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7,596 |
I |
See Footnotes
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Series E Preferred Stock |
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02/15/2011 |
02/15/2011 |
C |
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7,596 |
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Common Stock |
7,596 |
$0
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0 |
I |
See Footnotes
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1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, BUILDING FOUR |
SUITE 210 |
(Street)
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1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, BUILDING FOUR, |
SUITE 210 |
(Street)
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1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, BUILDING FOUR, |
SUITE 210 |
(Street)
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1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, BUILDING FOUR, |
SUITE 210 |
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ William Smith, attorney-in-fact |
02/16/2011 |
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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. |
rrd270603_305665.html
POWER OF ATTORNEY
Each of the undersigned, as a Section 16 reporting person of Fluidigm
Corporation (the "Company"), hereby constitutes and appoints each of the
officers of the Company and the responsible attorneys and paralegals of Wilson
Sonsini Goodrich & Rosati, P.C. such undersigned's true and lawful
attorney-in-fact to:
1. complete and execute Forms ID, 3,4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her
discretion determine to be required or advisable pursuant to
Section 16 of the Securities Exchange Act of 1934 (as amended)
and the rules and regulations promulgated thereunder, or any
successor laws and regulations, as a consequence of such
undersigned's ownership, acquisition or disposition of
securities of the Company; and
2. do all acts necessary in order to file such forms with the
Securities and Exchange Commission, any securities exchange or
national association, the Company and such other person or
agency as the attorney-in-fact shall deem appropriate.
Each of the undersigned hereby ratifies and confirms all that said
attorney-in-fact and agents shall do or cause to be done by virtue hereof. Each
of the undersigned acknowledges that the foregoing attorney-in-fact, in serving
in such capacity at the request of such undersigned, are not assuming, nor is
the Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).
This Power of Attorney shall remain in full force and effect until such
time as none of the undersigned are required to file Forms ID, 3, 4 and 5 with
respect to such undersigned's holdings of and transactions in securities issued
by the Company, unless earlier revoked by any of the undersigned in a signed
writing delivered to the Company and the foregoing attorney-in-fact (each such
revocation to apply only to the Power of Attorney with respect to such revoking
individual).
This Power of Attorney may be executed in two or more counterparts, each
of which shall be deemed an original, but all of which together shall constitute
one and the same instrument.
IN WITNESS WHEREOF, the undersigned have caused this Power of Attorney
to be executed as of this 4th day of February, 2011.
IN WITNESS WHEREOF, this Power of Attorney has been signed as of
February , 2011.
Versant Venture Capital I, L.P.
Versant Affiliates Fund I-A, L.P.
Versant Affiliates Fund I-B, L.P.
Versant Side Fund I, L.P.
By: Versant Ventures I, LLC
Its: General Partner
By: /s/ Robin L. Praeger
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Name: Robin L. Praeger, Chief Financial Officer
Signature: /s/ Brian G. Atwood
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Name: Brian G. Atwood, an individual
Signature: /s/ Samuel D. Colella
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Name: Samuel D. Colella, an individual
Signature: /s/ Ross A. Jaffe
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Name: Ross A. Jaffe, an individual
Signature: /s/ William J. Link
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Name: William J. Link, an individual
Signature: /s/ Barbara N. Lubash
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Name: Barbara N. Lubash, an individual
Signature: /s/ Donald B. Milder
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Name: Donald B. Milder, an individual
Signature: /s/ Rebecca B. Robertson
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Name: Rebecca B. Robertson, an individual