- Initial Statement of Beneficial Ownership (3)
November 10 2008 - 12:46PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
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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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1. Name and Address of Reporting Person
*
Freund John Gordon
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2. Date of Event Requiring Statement (MM/DD/YYYY)
10/31/2008
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3. Issuer Name
and
Ticker or Trading Symbol
MAKO Surgical Corp. [MAKO]
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(Last)
(First)
(Middle)
525 UNIVERSITY AVENUE, SUITE 520
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
PALO ALTO, CA 94301
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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2437249
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I
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By Skyline Venture Partners V, L.P.
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Common Stock Warrants (right to buy)
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4/29/2009
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11/2/2015
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Common Stock
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487450
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$7.44
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I
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By Skyline Venture Partners V, L.P.
(1)
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Common Stock Warrants (right to buy)
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(2)
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(3)
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Common Stock
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143157
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$6.20
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I
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By Skyline Venture Partners V, L.P.
(1)
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Explanation of Responses:
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(
1)
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The reporting person is Executive Managing Director of Skyline Venture Management V, LLC, the general partner of Skyline Venture Partners V, L.P., but he disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
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(
2)
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The Warrants are exercisable at any time or times on or after the earlier of (i) December 31, 2009, or (ii) the purchase of additional shares of the issuer's common stock by the purchasers affiliated with the reporting person, which purchase may occur at the sole option of the issuer on or before December 31, 2009, following achievement of certain commercialization milestones.
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(
3)
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The Warrants will expire eighty-four (84) months from the date that the Warrants become exercisable. If such date falls on a day other than a business day, the expiration date will be the next business day.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Freund John Gordon
525 UNIVERSITY AVENUE
SUITE 520
PALO ALTO, CA 94301
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X
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Signatures
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/s/John G. Freund, MD
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11/10/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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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