SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b),
(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b)
(Amendment No. ___)*
NeuroMetrix, Inc.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
- --------------------------------------------------------------------------------
(Title of Class of Securities)
641255104
- --------------------------------------------------------------------------------
(CUSIP Number)
December 31, 2004
- --------------------------------------------------------------------------------
(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
disclosures provided in a prior cover page.
The information required on 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).
(Continued on following pages)
Page 1 of 14 Pages
Exhibit Index on Page 13
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CUSIP NO. 641255104 13 G Page 2 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Delphi Ventures IV, L.P. ("DV IV")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
- ------------------------------------ -------- ----------------------------------
5 SOLE VOTING POWER
NUMBER OF 871,415 shares, except that Delphi Management
SHARES Partners IV, L.L.C. ("DMP IV"), the general partner
BENEFICIALLY of DV IV, may be deemed to have sole power to vote
OWNED BY EACH these shares, and James J. Bochnowski
REPORTING ("Bochnowski"), David L. Douglass ("Douglass") and
PERSON Donald J. Lothrop ("Lothrop"), the managing members
WITH of DMP IV, may be deemed to have shared power to
vote these shares.
------ ---------------------------------------------------
6 SHARED VOTING POWER
See response to row 5.
------ ---------------------------------------------------
7 SOLE DISPOSITIVE POWER
871,415 shares, except that DMP IV, the general
partner of DV IV, may be deemed to have sole power
to dispose of these shares, and Bochnowski,
Douglass and Lothrop, the managing members of DMP
IV, may be deemed to have shared power to dispose
of these shares.
-------- ------------------------------------------
8 SHARED DISPOSITIVE POWER
See response to row 7.
- ------------ -------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 871,415
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.2%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
PN
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- ----------------------------------- ------------------- ------------------------
CUSIP NO. 641255104 13 G Page 3 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Delphi BioInvestments IV, L.P. ("DBI IV")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
- ------------------------------------ -------- ----------------------------------
5 SOLE VOTING POWER
NUMBER OF 17,965 shares, except that DMP IV, the general
SHARES partner of DBI IV, may be deemed to have sole power
BENEFICIALLY to vote these shares, and Bochnowski, Douglass
OWNED BY EACH and Lothrop, the managing members of DMP IV, may
REPORTING be deemed to have shared power to vote these
PERSON shares.
WITH ------ ---------------------------------------------------
6 SHARED VOTING POWER
See response to row 5.
------ ---------------------------------------------------
7 SOLE DISPOSITIVE POWER
17,965 shares, except that DMP IV, the general
partner of DBI IV, may be deemed to have sole power
to dispose of these shares, and Bochnowski,
Douglass and Lothrop, the managing members of DMP
IV, may be deemed to have shared power to dispose
of these shares.
------ ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
See response to row 7.
- ------------ -------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 17,965
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0.1%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
PN
- ------------ -------------------------------------------------------------------
- ----------------------------------- ------------------- ------------------------
CUSIP NO. 641255104 13 G Page 4 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Delphi Management Partners IV, L.L.C. ("DMP IV")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
- ------------------------------------ -------- ----------------------------------
5 SOLE VOTING POWER
NUMBER OF 889,380 shares, of which 871,415 are directly owned
SHARES by DV IV and 17,965 are directly owned by DBI IV.
BENEFICIALLY DMP IV, the general partner of DV IV and DBI IV,
OWNED BY EACH may be deemed to have sole power to vote these
REPORTING shares, and Bochnowski, Douglass and Lothrop, the
PERSON managing members of DMP IV, may be deemed to have
WITH shared power to vote these shares.
------ ---------------------------------------------------
6 SHARED VOTING POWER
See response to row 5.
------ ---------------------------------------------------
7 SOLE DISPOSITIVE POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
DMP IV, the general partner of DV IV and DBI IV,
may be deemed to have sole power to dispose of
these shares, and Bochnowski, Douglass and Lothrop,
the managing members of DMP IV, may be deemed to
have shared power to dispose of these shares.
------ ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
See response to row 7.
- ------------ -------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 889,380
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.4%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
OO
- ------------ -------------------------------------------------------------------
- ----------------------------------- ------------------- ------------------------
CUSIP NO. 641255104 13 G Page 5 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
James J. Bochnowski ("Bochnowski")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
- ------------------------------------ -------- ----------------------------------
NUMBER OF
SHARES 5 SOLE VOTING POWER
BENEFICIALLY 0 shares
OWNED BY EACH
REPORTING
PERSON
WITH ------ ---------------------------------------------------
6 SHARED VOTING POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Bochnowski is a managing member of DMP IV, the
general partner of DV IV and DBI IV, and may be
deemed to have shared power to vote these shares.
------ ---------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares
------ ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Bochnowski is a managing member of DMP IV, the
general partner of DV IV and DBI IV, and may be
deemed to have shared power to dispose of these
shares.
- ------------------------------------ -------- ----------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 889,380
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.4%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
IN
- ------------ -------------------------------------------------------------------
- ----------------------------------- ------------------- ------------------------
CUSIP NO. 641255104 13 G Page 6 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
David L. Douglass ("Douglass")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
- ------------------------------------ -------- ----------------------------------
NUMBER OF
SHARES 5 SOLE VOTING POWER
BENEFICIALLY 0 shares
OWNED BY EACH
REPORTING
PERSON
WITH -------- -------------------------------------------------
6 SHARED VOTING POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Douglass is a managing member of DMP IV, the
general partner of DV IV and DBI IV, and may be
deemed to have shared power to vote these shares.
-------- -------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares
-------- -------------------------------------------------
8 SHARED DISPOSITIVE POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Douglass is a managing member of DMP IV, the
general partner of DV IV and DBI IV, and may be
deemed to have shared power to dispose of these
shares.
- ------------ -------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 889,380
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.4%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
IN
- ------------ -------------------------------------------------------------------
- ----------------------------------- ------------------- ------------------------
CUSIP NO. 641255104 13 G Page 7 of 14 Pages
- ----------------------------------- ------------------- ------------------------
- ------------ -------------------------------------------------------------------
1 NAME OF REPORTING
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Donald J. Lothrop ("Lothrop")
Tax ID Number:
- ------------ -------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ] (b) [X]
- ------------ -------------------------------------------------------------------
3 SEC USE ONLY
- ------------ -------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
- ------------------------------------ -------- ----------------------------------
NUMBER OF
SHARES 5 SOLE VOTING POWER
BENEFICIALLY 0 shares
OWNED BY EACH
REPORTING
PERSON
WITH ------- --------------------------------------------------
6 SHARED VOTING POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Lothrop is a managing member of DMP IV, the general
partner of DV IV and DBI IV, and may be deemed to
have shared power to vote these shares.
------- --------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares
------- --------------------------------------------------
8 SHARED DISPOSITIVE POWER
889,380 shares, of which 871,415 are directly owned
by DV IV and 17,965 are directly owned by DBI IV.
Lothrop is a managing member of DMP IV, the general
partner of DV IV and DBI IV, and may be deemed to
have shared power to dispose of these shares.
- ------------ -------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 889,380
- ------------ -------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES [ ]
- ------------ -------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.4%
- ------------ -------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
IN
- ------------ -------------------------------------------------------------------
Page 8 of 14 Pages
ITEM 1(A). NAME OF ISSUER:
---------------
NeuroMetrix, Inc.
ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
------------------------------------------------
62 Fourth Avenue
Waltham, MA 02451
ITEM 2(A). NAME OF PERSONS FILING:
-----------------------
This statement is filed by Delphi Ventures IV, L.P., a
Delaware limited partnership ("DV IV"), Delphi BioInvestments
IV, L.P., a Delaware limited partnership ("DBI IV"), Delphi
Management Partners IV, L.L.C., a Delaware limited liability
company ("DMP IV") and the general partner of DV IV and DBI
IV, James J. Bochnowski ("Bochnowski"), David L. Douglass
("Douglass") and Donald J. Lothrop ("Lothrop"), the managing
members of DMP IV. The foregoing entities and individuals are
collectively referred to as the "Reporting Persons".
DMP IV is the general partner of DV IV and DBI IV and may be
deemed to have sole power to vote and sole power to dispose of
shares of the issuer directly owned by DV IV and DBI IV.
Bochnowski, Douglass and Lothrop are the managing members of
DMP IV and may be deemed to have shared power to vote and
shared power to dispose of the shares of the issuer directly
owned by DV IV and DBI IV.
ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE, OR, IF NONE, RESIDENCE:
-------------------------------------------------------------
The address of the principal business office for each of the
Reporting Persons is:
Delphi Ventures
3000 Sand Hill Road
Building 1 - Suite 135
Menlo Park, CA 94025
ITEM 2(C) CITIZENSHIP:
------------
DV IV and DBI IV are Delaware limited partnerships. DMP IV is
a Delaware limited liability company. Bochnowski, Douglass and
Lothrop are United States citizens.
ITEM 2(D) AND ITEM 2(E). TITLE OF CLASS OF SECURITIES AND CUSIP NUMBER:
----------------------------------------------
Common Stock
CUSIP # 641255104
ITEM 3. Not Applicable.
Page 9 of 14 Pages
ITEM 4. OWNERSHIP:
----------
The following information with respect to the ownership of the
Common Stock of the issuer by the persons filing this
Statement is provided as of December 31, 2004:
(a) Amount beneficially owned:
--------------------------
See Row 9 of cover page for each Reporting Person.
(b) Percent of Class:
-----------------
See Row 11 of cover page for each Reporting Person.
(c) Number of shares as to which such person has:
---------------------------------------------
(i) Sole power to vote or to direct the vote:
-----------------------------------------
See Row 5 of cover page for each Reporting
Person.
(ii) Shared power to vote or to direct the
-----------------------------------------
vote:
-----
See Row 6 of cover page for each Reporting
Person.
(iii) Sole power to dispose or to direct the
----------------------------------------
disposition of:
---------------
See Row 7 of cover page for each Reporting
Person.
(iv) Shared power to dispose or to direct the
-----------------------------------------
disposition of:
---------------
See Row 8 of cover page for each Reporting
Person.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:
---------------------------------------------
Not applicable.
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON:
---------------------------------------------------------------
Under certain circumstances set forth in the limited partnership
agreements of DV IV and DBI IV, and the limited liability company
agreement of DMP IV, the general and limited partners or members,
as the case may be, of each of such entities may be deemed to
have the right to receive dividends from, or the proceeds from,
the sale of shares of the issuer owned by each such entity of
which they are a partner.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY:
-----------------------------------------------------------------
Not applicable.
Page 10 of 14 Pages
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP:
---------------------------------------------------------
Not applicable.
ITEM 9. NOTICE OF DISSOLUTION OF GROUP:
------------------------------
Not applicable.
ITEM 10. CERTIFICATION:
-------------
Not applicable.
Page 11 of 14 Pages
SIGNATURES
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.
Dated: February 11, 2005
DELPHI VENTURES IV, L.P., a Delaware
Limited Partnership
By: Delphi Management Partners IV, L.L.C.,
a Delaware Limited Liability Company
Its General Partner
By: /s/ James J. Bochnowski
-------------------------------------
James J. Bochnowski,
Member
DELPHI BIOINVESTMENTS IV, L.P., a Delaware
Limited Partnership
By: Delphi Management Partners IV, L.L.C.,
a Delaware Limited Liability Company
Its General Partner
By: /s/ James J. Bochnowski
-------------------------------------
James J. Bochnowski,
Member
DELPHI MANAGEMENT PARTNERS IV, L.L.C.,
a Delaware Limited Liability Company
By: /s/ James J. Bochnowski
-------------------------------------
James J. Bochnowski,
Member
Page 12 of 14 Pages
JAMES J. BOCHNOWSKI
By: /s/ James J. Bochnowski
-------------------------------
James J. Bochnowski
DAVID L. DOUGLASS
By: /s/ David L. Douglass
-------------------------------
David L. Douglass
DONALD J. LOTHROP
By: /s/ Donald J. Lothrop
-----------------------
Donald J. Lothrop
Page 13 of 14 Pages
EXHIBIT INDEX
Found on
Sequentially
Exhibit Numbered Page
- ------- -------------
Exhibit A: Agreement of Joint Filing 14
Page 14 of 14 Pages
EXHIBIT A
Agreement of Joint Filing
The undersigned hereby agree that a single Schedule 13G (or any
amendment thereto) relating to the Common Stock of Neometrix Technology Group,
Inc. shall be filed on behalf of each of the undersigned and that this Agreement
shall be filed as an exhibit to such Schedule 13G.
Date: February 11, 2005
February 11, 2005 DELPHI MANAGEMENT PARTNERS IV, L.L.C.,
a Delaware Limited Liability Company
By: /s/ James J. Bochnowski
--------------------------------
James J. Bochnowski, Member
February 11, 2005 DELPHI VENTURES IV, L.P.,
a Delaware Limited Partnership
By: Delphi Management Partners IV, L.L.C.,
a Delaware Limited Liability Company
Its General Partner
By: /s/ James J. Bochnowski
--------------------------------
James J. Bochnowski, Member
February 11, 2005 DELPHI BIOINVESTMENTS IV, L.P.,
a Delaware Limited Partnership
By: Delphi Management Partners IV, L.L.C.,
a Delaware Limited Liability Company
Its General Partner
By: /s/ James J. Bochnowski
--------------------------------
James J. Bochnowski, Member
February 11, 2005 By: /s/ James J. Bochnowski
------------------------------------
James J. Bochnowski
February 11, 2005 By: /s/ David L. Douglass
------------------------------------
David L. Douglass
February 11, 2005 By: /s/ Donald J. Lothrop
------------------------------------
Donald J. Lothrop