UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Galen Partners V LP 680 WASHINGTON BLVD. STAMFORD, CT 06901 |
 |  X |  |  |
Galen Partners International V LP 680 WASHINGTON BLVD. STAMFORD, CT 06901 |
 |  X |  |  |
Galen Management, LLC 680 WASHINGTON BLVD. STAMFORD, CT 06901 |
 |  X |  |  |
Galen Partners V, L.L.C. 680 WASHINGTON BLVD. STAMFORD, CT 06901 |
 |  X |  |  |
By: /s/ Zubeen Shroff, managing director of Galen Partner V, L.L.C., the general partner of Galen Partners V LP | 04/24/2014 | |
**Signature of Reporting Person | Date | |
By: /s/ Zubeen Shroff, managing director of Galen Partner V, L.L.C., the general partner of Galen Partners International V LP | 04/24/2014 | |
**Signature of Reporting Person | Date | |
By: /s/ Zubeen Shroff, member | 04/24/2014 | |
**Signature of Reporting Person | Date | |
/s/ Zubeen Shroff, managing director | 04/24/2014 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Includes 4,805,906 shares held of record by Galen Partners V LP ("Galen V"), 410,392 shares held of record by Galen Partners International V LP ("Galen International V") and 150,704 shares held of record by Galen Management, LLC. Galen Partners V, L.L.C. serves as the sole General Partner of Galen V and Galen International V and has sole voting and investment control over the shares held by such funds and may be deemed to beneficially own the shares held by such funds. Each of the Reporting Persons disclaims beneficial ownership of the shares reported herein, except to the extent of its respective pecuniary interest therein. |