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FORM 4
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[ ] Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION -------------------------
longer subject to Washington, D.C. 20549 OMB APPROVAL
Section 16 Form 4 or -------------------------
Form 5 obligations STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0287
may continue. See Expires: September 30, 1998
Instruction 1(b) Estimated average burden
hours per response .. 0.5
(Print or Type Responses) -------------------------
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
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1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to
Issuer
Kuhling Robert Conceptus, Inc. (CPTS) (Check all applicable)
- --------------------------------------- -------------------------------------------- X Director __ 10% Owner
(Last) (First) (Middle) 3. IRS or Social 4. Statement for __ Officer __ Other (specify below)
Security of Reporting Month/Year (give title below)
2400 Sand Hill Rd. Suite 150 Person, if an entity January 2000 resigned 1/4/2000
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(Street) 5. If Amendment, 7. Individual or Joint/Group Reporting
Date of original X Form Filed by One Reporting Person
(Month/Year) __ Form Filed by More than One Reporting
Person
Menlo Park, CA 94025 (Check all applicable)
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(City) (State) (Zip) Table 3 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security 2. Trans- 3. Trans 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4, and 5) Beneficially Form; direct
(Instr. Owned at Direct Bene-
8) End of (D) or ficial
(Month/ Issuer's Owner-
Day/ Fiscal Indirect ship
Year) ------------------------- Year (I) (Instr.
(A) (Instr. 3 (Instr. 4) 4)
or and 4)
Code V Amount (D) Price
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Common 1/19/00 S(1) 417,647 D $3.00 I (2)
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Common 10,259 I trust
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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 4(b)(v). SEC 1474 (7-96)
<PAGE>
Form 4 (continued)
Table II -- Derivatives Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative 2. Conver- 3. Tran 4. Trans- 5. Number of 6. Date Exer- 7. Title and 8. Price 9. Number 10. Owner- 11. Nature
Security sion or sact action Derivative cisable and Amount of of of ship of
(Instr. 3) Exercise action Code Securities Expiration Underlying Deriv- Deriva- of Indirect
Price Date Acquired (A) Date Securities ative tive Deriva- Bene-
of (Instr.8) or Disposed Security Securities tive ficial
Derivative of (D) (Month/Day/ (Instr. 3 (Instr. Bene- Security Owner-
Security (Month/ (Instr. 3, 4 Year) and 4) 5) Owned Direct ship
Day/ and 5) at End (B) or (Instr.
Year) --------------------------- of Year indirect 4)
-------------Date Expir- Amount (Instr. 4) (3)
(A) (B) Exer- ation Title or (Instr.4)
cisable Date Number
of
Shares
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<FN>
Explanation of Responses:
(1) Sold by ONSET Enterprise Associates, L.P.
(2) Reporting person is a General Partner of CEA Management, LP. the General Partner of ONSET Enterprise Associates, LP, a venture
capital firm. Reporting person disclaims benefical ownership of each shares except to secondary interest.
/s/ Robert Kuhling
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* Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See 10 U.S.C. 1001 and 33 U.S.C. 10ff(e).
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 Page 2
required to respond unless the form displays a currently valid OMB Number. SEC 1474 (7-96)
</FN>
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