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- -------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION -----------------------------
FORM 3 WASHINGTON, D.C. 20549 OMB APPROVAL
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104
Expires: September 30, 1998
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
Section 17(a) of the Public Utility Holding Company Act of 1935 or hours per response .... 0.5
(Print or Type Responses) Section 30(f) of the Investment Company Act of 1940 -----------------------------
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1. Name and Address of Reporting Person* 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol
quiring Statement
Castle Gate, L.L.C. (Month/Day/Year) CORIXA CORPORATION (CRXA)
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(Last) (First) (Middle) 04/08/99 5. Relationship of Reporting Person(s) 6. If Amendment, Date
----------------------- to Issuer (Check all applicable) of Original
3. IRS or Social Se- Director X 10% Owner (Month/Day/Year)
curity Number of ---- ----
2365 Carillon Point Reporting Person Officer (give Other (specify ---------------------
- ------------------------------------------------- (Voluntary) title below) below) 7. Individual or
(Street) ---- ---- Joint/Group Filing
(Check Applicable
Line)
------------------------------------------------------------ Form filed by One
Reporting Person
---
Form filed by
More than One
X Reporting Person
Kirkland Washington 98033 ---
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(City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, SEE Instruction 5(b)(v). SEC 1473 (7-97)
POTENTIAL PERSONS WHO ARE TO 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.
Page 1 of 3 pages
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial
Expiration (Instr. 4) Exercise Form of Ownership
Date Price of Deriv- (Instr. 5)
(Month/Day/ Deri- ative
Year) vative Security:
-------------------------------------------------- Security Direct
Amount (D) or
Date Expir- or Indirect
Exer- ation Title Number (I)
cisable Date of
Shares (Instr. 5)
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Series A Preferred Stock, Immed. 4/8/06 Common Stock 1,470,588 $8.50 D
Par Value $0.001
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Common Stock Warrant Immed. 4/8/09 Common Stock 312,500 $8.50 D
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Common Stock Warrant Immed. 4/8/04 Common Stock 724,637 $8.28 D
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Explanation of Responses:
/s/ Michael Larson April 19, 1999
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**Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date
Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). as Business Manager of Castle Gate
LLC and on behalf of William H. Gates III
Note: File three copies of this Form, one of which must be manually Duly authorized under Power of Attorney dated March 31,
signed. If space is insufficient, SEE Instruction 6 for 1999, by and on behalf of William H. Gates III, filed
procedure. with the Securities and Exchange Commission on
Potential persons who are to respond to the collection of information April 19, 1999, as Exhibit 1.1 to Castle Gate's
contained in this form are not required to respond unless the form Schedule 13G.
displays a currently valid OMB Number.
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SEC 1473 (7-97)
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JOINT FILER INFORMATION
Name: William H. Gates, III
Address: One Microsoft Way
Redmond, WA 98052
Designated Filer: Castle Gate, L.L.C.
Issuer &
Ticker Symbol: Corixa Corporation (CRXA)
Date of Event
Requiring Statement: April 8, 1999
Nature of Indirect
Beneficial Ownership: Member of designated filer
Signature: Included with designated filer signature
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