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UNITED STATED
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT No.________________ )*
Cohesion Technologies, Inc.
---------------------------
(Name of Issuer)
Common Stock
------------
(Title of Class of Securities)
19248N-10-1
------------
(CUSIP Number)
December 31. 1999
-----------------
(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
Rule 13d-1(b)
Rule 13d-1(c)
[x] Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
Note:
- -----
*The stock holdings represented herein reflect ownership as of December 31,
1999.
Reid W. Dennis (Reporting Person)
S.E.C. Account #0000903975
cc: NASDAQ Operations Department
Joan Trampenau, Cohesion Technologies, Inc.
SEC 1745 (2/92)
<PAGE>
<TABLE>
<S> <C> <C>
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CUSIP No. 19248N-10-1 13G Page 2 of 5 Pages
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- -------------------------------------------- --------------------------------------------
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Reid W. Dennis SSN #573-22~285O
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF 5 SOLE VOTING POWER (See Exhibit A)
SHARES
BENEFICIALLY 696,043 Shares *Excludes Stock Options held by Mr. Dennis for 32,000 shares
OWNED BY EACH ------------------------------------------------------------------------------------------------------
REPORTING PERSON 6 SHARED VOTING POWER
WITH
N/A
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7 SOLE DISPOSITIVE POWER (See Exhibit A)
696,043 Shares *Excludes Stock Options held by Mr. Dennis for 32,000 shares
------------------------------------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
N/A
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON (See Exhibit A)
696,043 Shares *Excludes Stock Options held by Mr. Dennis for 32,000 shares
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
Excludes Stock Options held by Mr. Dennis for 32,000 shares and excludes 1,500 shares held by Mr. Dennis
as Trustee for Suzanne Weaver Dennis in which he disclaims any beneficial ownership
[X]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
8.0%
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12 TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTION BEFORE FILLING OUT!
</TABLE>
<PAGE>
<TABLE>
<S> <C> <C>
Item 1: Issuer
---------------
(a) Issuer; Cohesion Technologies, Inc. ("The Issuer")
(b) Address of Principal Executive Office: 2500 Faber Place
Palo Alto, CA 94303
Item 2: Filing Persons
-----------------------
(a) Name of Person Filing: Reid W. Dennis
(b) Principal Business Address: 3000 Sand Hill Road
Building 2, Suite 290
Menlo Park, California 94025
(c) Citizenship/Place of Organization: U.S.A.
(d) Title of Class of Securities: Common Stock
(e) CUSIP Number: 19248N-10-1
Item 3: Not Applicable
- -----------------------
Item 4: Ownership
- ------------------
(a) Amount Beneficially Owned: 696,043 Shares (See Exhibit A)
(b) Percent of Class: 8.0%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote 696,043 shares (See Exhibit A)
(ii) shared power to vote or to direct the vote -0-
(iii) sole power to dispose or to direct
the disposition of 696,043 shares (See Exhibit A)
(iv) shared power to dispose or to direct
the disposition of -0-
Item 5: Ownership of Five Percent or Less of a Class: Not ApplIcable
- ----------------------------------------------------
Item 6: Ownership of more than 5% on Behalf of Others: Not Applicable
- ------------------------------------------------------
Item 7: Identification and Classification of the Subsidiary Not Applicable
- -----------------------------------------------------------
Which Acquired the Security Being Reported on By
------------------------------------------------
the Parent Holding Company
--------------------------
Item 8: Identification and Classification of Members of the Group Not Applicable
- -----------------------------------------------------------------
Page 3 of 5
<PAGE>
Item 9: Notice of Dissolution of Group: Not Applicable
- ---------------------------------------
Item 10 Certification Not Applicable
- ----------------------
</TABLE>
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.
-------------------------
Date
-------------------------
Signature
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Name/Title
Page 4 of 5
<PAGE>
EXHIBIT H
FORM 4
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
S.E.C. Acct. #0000903975
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
Dennis Reid W.
- --------------------------------------------------------------------------------
(Last) (First) (Middle)
c/o Institutional Venture Partners 3000 Sand Hill Road, Building 2, Suite 290
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(Street)
Menlo Park California 94025
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Cohesion Technologies, Inc.
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3. IRS of Social Security
Number of Reporting
Person (Voluntary)
###-##-####
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4. Statement for Month/Year
July 1999
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5. If Amendment, Date of Original
N/A
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6. Relationship of Reporting Person to Issuer (Check if applicable)
_x_ Director ___ 10% Owner
___ Officer ___ Other
(give title below) (specify below)
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Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
1. Title of Security 2. Transaction 3. Trans 4. Securities Acquired (A) or 5. Amount of 6. Ownership 7. Nature
Instr. 3) Date action Disposed of (D) Securities Form: of Indirect
Code (Instr. 3,4, and 5) Benefically Direct Beneficial
(Month/ Owned at (D) or Ownership
Day/ (Instr. 8) End of Indirect (Instr. 4)
Year) (Instr. 3&4) (I)
(Instr. 4)
---------------------------------------------
Code V Amount (A) Price
or
(D)
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<S> <C> <C> <C> <C> <C> <C>
Common Stock 696,043 Shs. * D
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1,500 Shs. I
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*Excludes 32,000 shs. "stock options"
owned by Mr. Dennis (see reverse)
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cc: N.A.S.D.A.Q. Operations Department
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Joan Trapenau, Cohesion Technologies, Inc.
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</TABLE>
<PAGE>
<TABLE>
<CAPTION>
1. Title of Derivative 2. Conver- 3. Trans- 4.Trans- 5. Number of 6. Date Exercisable 7. Title and Amout
Security sion or action action Derivative and Expiration Uderlying Securities
(Instr. 3) Exercise Date Code Securities Date (Month/ (Instr. 3 and 4)
Price of (Month/ (Instr. 8) Acquired Day/Year)
Deriv- Day/Year) (A) or
ative Disposed of
Security (D)
(Instr. 3,4
and 5)
----------------------------------------------------
Date Expira- Title Amount
Exer- tion of
cisable Date Number
of
Shares
--------------------------------
Code V (A) (D)
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<S> <C> <C> <C> <C> <C> <C>
Common Stock V A 7/1/1990 7/1/2000 3,000*
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" " V A 7/1/1991 7/1/2001 3,000*
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" " V A 7/1/1992 7/1/2002 3,000*
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" " V A 7/1/1993 7/1/2003 3,000*
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" " V A 7/1/1994 7/1/2004 3,000*
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" " V A 7/1/1995 7/1/2005 3,000*
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" " V A 7/1/1996 7/1/2006 3,000*
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" " V A 7/1/1997 7/1/2007 3,000*
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" " V A 7/1/1998 7/1/2008 3,000*
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" " V A 7/1/2000 7/1/2009 5,000*
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</TABLE>
<TABLE>
<CAPTION>
Title of Derivative 8. Price of Derivative 9. Number of Derivative 10. Ownership Form of 11. Nature of Indirect
Security Security (Instr. 5) Securities Benefically Derivative Security; Beneficial
Instr. 3) Owned at End of Direct (D) or Ownership (Instr. 4)
Month (Instr. 4) Indirect (I) (Insr. 4)
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<S> <C> <C> <C> <C>
Common Stock
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" "
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" "
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" "
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" "
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" "
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" "
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" "
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" "
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" " 32,000 D
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<FN>
Explanation of responses: * Acquired in a distribution by Collagen Corporation on August 18, 1998 in which I received 676,043
shares of Cohesion Technology, Inc. common stock and 30,000 Cohesion Technologies, Inc. common stock
options. I disclaim any beneficial ownership of 1,5000 shares of Cohesion Technologies, Inc. (acquired
in the August 18, 1998 Collagen Corporation distribution) common stock held by me as Trustee for
Suzanna Weaver Dennis.
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
</FN>
</TABLE>
