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FORM 3 OMB APPROVAL
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OMB Number: 3235-0104
U.S. SECURITIES AND EXCHANGE COMMISSION Expires: December 31, 2001
WASHINGTON, D.C. 20549 Estimated average burden hours
per response: 0.5
INITIAL 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(f) of the Investment Company Act of 1940
(Print Or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer name and Ticker or Trading Symbol
Statement
(Month/Day/Year) Chemdex Corporation (CMDX)
Bay City Capital Management LLC ("BCC Management")
c/o Bay City Capital LLC July 26, 1999
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(Last) (First) (Middle)
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3. IRS or Social Security 5. Relationship of Reporting Person(s) to Issuer
750 Battery Street, Suite 600 Number of Reporting (Check all applicable)
Person (Voluntary)
Director X 10% Owner
(Street) -------- -------
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Officer (give Other (specify
-------- title below) ------- below)
San Francisco California 94104
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(City) (State) (Zip)
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6. If Amendment, Date of 7. Individual or Joint/Group
Original (Month/Day/Year) 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 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially owned Direct (D) or Beneficial Ownership
(Instr. 4) Indirect (I) (Instr. 5) (Instr. 5)
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Series A Preferred Stock (1) 41,828 (2) I (3) BCC Management has a 3.75%
proprotional interest (exclusive
of certain carried interest
distributions) in the capital
account of The Bay City Capital
Fund I, L.P.
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Series B Preferred Stock (1) 48,225 (2) I (3) Same as above
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Series C Preferred Stock (1) 14,761 (2) I (3) Same as above
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Reminder: Report on a separate line for each class of securities owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, (see) Instruction 5(b)(v). SEC 1473 (3-99)
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 Number. Page 1 of 3
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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 Exercisable and Expiration 3. Title and Amount of Securities Underlying
(Instr. 4) Date (Month/Day/Year) Derivative Security
(Instr. 4)
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Amount or
Date Number of
Exercisable Expiration Date Title Shares
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4. Conversion or 5. Ownership Form 6. Nature of Indirect
Exercise Price of Derivative Beneficial
of Derivative Security: Ownership
Security Direct (D) or (Instr. 5)
Indirect (I)
(Instr. 5)
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Explanation of Responses:
(1) The Preferred Stock of the Issuer shall automatically convert to Common
Stock at a one-to-one ratio upon the closing if the Issuer's Initial
Public Offering which is scheduled to occur on or about July 27, 1999.
Accordingly, the number 2,795,018 shares of Preferred Stock held by The
Bay City Capital Fund, I. L.P. will automatically convert to 2,795,018
shares of Common Stock upon the date of such event.
(2) The information on this Form 3 reflects a one-to-two reverse split of
Common Stock and Preferred Stock. Of the shares reported by The Bay
City Capital Fund I, L.P. from which the 3.75% proportional interest
was derived, certain individuals associated with The Bay City Capital
Fund I, L.P. have a pecuniary interest in 42,900 shares of Series A
Preferred Stock of the Issuer and 17,497 shares of Series C Preferred
Stock of the Issuer, and the Reporting Person disclaims any
proportional beneficial ownership in such shares.
(3) Certain trusts primarily for the benefit of the lineal descendants of
Nicholas J. Pritzker, deceased (including Mr. Pritzker) are indirect
investors in The Bay City Capital Fund I, L.P. Mr. Pritzker disclaims
any beneficial ownership in the shares held by The Bay City Capital
Fund I, L.P.
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 Number. Page 2 of 3
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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).
/S/ John Diekman July 16, 1999
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**Signature of Reporting Person Date
Note: File three copies of this form, one of which must be manually signed.
If space provided is insufficient, SEE Instruction 6 for procedure.
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 Number. Page 3 of 3
