SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c)
AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment
No.__)*
NeuroMetrix, Inc.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
------------------------------
(Title of Class of Securities)
641255104
------------------------------
(CUSIP Number)
May 6, 2005
-------------------------------------------------------
(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)
[ X ] Rule 13d-1(c)
[ ] 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 13 Pages
Exhibit Index Contained on Page 11
- ----------------------------------------------------------- --------------------------------------------------
CUSIP NO. 641255104 13D Page 2 of 13 Pages
- ----------------------------------------------------------- --------------------------------------------------
- ----------- ------------------------------------------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Integral Capital Management VI, LLC ("ICM6")
- ----------- ------------------------------------------------------------------------------------------------------------------
2 CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [_] (b) [X]
- ----------- ------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------- ------------------------------------------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware (limited liability company)
- --------------------------------------- --------- ----------------------------------------------------------------------------
5 SOLE VOTING POWER -0-
--------- ----------------------------------------------------------------------------
NUMBER 6 SHARED VOTING POWER
OF 525,000 shares, which shares are directly owned by Integral
SHARES Capital Partners VI, L.P. ("ICP6"). ICM6 is the general partner
BENEFICIALLY of ICP6.
OWNED BY EACH --------- ----------------------------------------------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER -0-
PERSON --------- ----------------------------------------------------------------------------
WITH 8 SHARED DISPOSITIVE POWER
525,000 shares (see response to Item 6)
- ----------- ------------------------------------------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
525,000 shares
- ----------- ------------------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES*
[_]
- ----------- ------------------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 4.4%
- ----------- ------------------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON* OO
- ----------- ------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
- ----------------------------------------------------------- --------------------------------------------------
CUSIP NO. 641255104 13D Page 3 of 13 Pages
- ----------------------------------------------------------- --------------------------------------------------
- ----------- ------------------------------------------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Integral Capital Management VII, LLC ("ICM7")
- ----------- ------------------------------------------------------------------------------------------------------------------
2 CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [_] (b) [X]
- ----------- ------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------- ------------------------------------------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware (limited liability company)
- --------------------------------------- --------- ----------------------------------------------------------------------------
5 SOLE VOTING POWER -0-
--------- ----------------------------------------------------------------------------
NUMBER 6 SHARED VOTING POWER
OF 135,000 shares, which are directly owned by Integral Capital
SHARES Partners VII, L.P. ("ICP7"). ICM7 is the general partner of
BENEFICIALLY ICP7.
OWNED BY EACH --------- ----------------------------------------------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER -0-
PERSON --------- ----------------------------------------------------------------------------
WITH 8 SHARED DISPOSITIVE POWER
135,000 shares (see response to Item 6)
- ----------- ------------------------------------------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
135,000 shares
- ----------- ------------------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES*
[_]
- ----------- ------------------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 1.1%
- ----------- ------------------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON* OO
- ----------- ------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
- ----------------------------------------------------------- --------------------------------------------------
CUSIP NO. 641255104 13D Page 4 of 13 Pages
- ----------------------------------------------------------- --------------------------------------------------
- ----------- ------------------------------------------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Integral Capital Partners VI, L.P. ("ICP6")
- ----------- ------------------------------------------------------------------------------------------------------------------
2 CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [_] (b) [X]
- ----------- ------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------- ------------------------------------------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware (limited partnership)
- --------------------------------------- --------- ----------------------------------------------------------------------------
5 SOLE VOTING POWER -0-
--------- ----------------------------------------------------------------------------
NUMBER 6 SHARED VOTING POWER
OF 525,000 shares are directly owned by ICP6. Integral Capital
SHARES Management VI, LLC is the general partner of ICP6.
BENEFICIALLY --------- ----------------------------------------------------------------------------
OWNED BY EACH 7 SOLE DISPOSITIVE POWER -0-
REPORTING --------- ----------------------------------------------------------------------------
PERSON 8 SHARED DISPOSITIVE POWER
WITH 525,000 shares (see response to Item 6)
- ----------- ------------------------------------------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
525,000 shares
- ----------- ------------------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES*
[_]
- ----------- ------------------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 4.4%
- ----------- ------------------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON* PN
- ----------- ------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
- ----------------------------------------------------------- --------------------------------------------------
CUSIP NO. 641255104 13D Page 5 of 13 Pages
- ----------------------------------------------------------- --------------------------------------------------
- ----------- ------------------------------------------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Integral Capital Partners VII, L.P. ("ICP7")
- ----------- ------------------------------------------------------------------------------------------------------------------
2 CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [_] (b) [X]
- ----------- ------------------------------------------------------------------------------------------------------------------
3 SEC USE ONLY
- ----------- ------------------------------------------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware (limited partnership)
- --------------------------------------- --------- ----------------------------------------------------------------------------
5 SOLE VOTING POWER -0-
--------- ----------------------------------------------------------------------------
NUMBER 6 SHARED VOTING POWER
OF 135,000 shares, which are directly owned by ICP7. Integral
SHARES Capital Management VII, LLC is the general partner of ICP7.
BENEFICIALLY --------- ----------------------------------------------------------------------------
OWNED BY EACH 7 SOLE DISPOSITIVE POWER -0-
REPORTING --------- ----------------------------------------------------------------------------
PERSON 8 SHARED DISPOSITIVE POWER
WITH 135,000 shares (see response to Item 6)
- ----------- ------------------------------------------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
135,000 shares
- ----------- ------------------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES*
[_]
- ----------- ------------------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 1.1%
- ----------- ------------------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON* PN
- ----------- ------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 6 of 13 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), (b), (c). NAME OF PERSON FILING, ADDRESS OF PRINCIPAL BUSINESS
OFFICE OR, IF NONE, RESIDENCE, AND CITIZENSHIP:
-----------------------------------------------------
This statement is being filed by Integral Capital Management
VI, LLC, a Delaware limited liability company ("ICM6") and Integral Capital
Management VII, LLC, a Delaware limited liability company ("ICM7"). The
principal business address of ICM6 and ICM7 is 3000 Sand Hill Road, Building 3,
Suite 240, Menlo Park, California 94025.
ICM6 is the general partner of Integral Capital Partners VI,
L.P., a Delaware limited partnership ("ICP6"). ICM7 is the general partner of
Integral Capital Partners VII, L.P., a Delaware limited partnership ("ICP7").
With respect to ICM6 and ICM7, this statement relates only to ICM6's and ICM7's
indirect, beneficial ownership of shares of Common Stock of the Issuer (the
"Shares"). The Shares have been purchased by ICP6 and ICP7, and none of ICM6 or
ICM7 directly or otherwise holds any Shares. Management of the business affairs
of ICM6 and ICM7, including decisions respecting disposition and/or voting of
the Shares, resides in a majority of the managers of ICM6 and ICM7,
respectively, such that no single manager of ICM6 or ICM7 has voting and/or
dispositive power of the Shares.
ITEM 2(d). TITLE OF CLASS OF SECURITIES:
----------------------------
Common Stock
Page 7 of 13 Pages
ITEM 2(e). CUSIP NUMBER:
------------
641255104
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b),
or 13d-2(b) or (c), CHECK WHETHER THE PERSON FILING IS A:
---------------------------------------------------------
(a) [_] Broker or dealer registered under Section 15 of the
Exchange Act.
(b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act.
(c) [_] Insurance company as defined in Section 3(a)(19) of the
Exchange Act.
(d) [_] Investment company registered under Section 8 of the
Investment Company Act.
(e) [_] An investment adviser in accordance with Rule
13d-1(b)(1)(ii)(E);
(f) [_] An employee benefit plan or endowment fund in accordance
with Rule 13d-1(b)(1)(ii)(F);
(g) [_] A parent holding company or control person in accordance
with Rule 13d-1(b)(1)(ii)(G);
(h) [_] A savings association as defined in Section 3(b) of the
Federal Deposit Insurance Act;
(i) [_] A church plan that is excluded from the definition of an
investment company under Section 3(c)(14) of the
Investment Company Act;
(j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
If this statement is filed pursuant to Rule 13d-1(c), check this box.
[ X ].
ITEM 4. OWNERSHIP.
---------
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
A. Integral Capital Management VI, LLC ("ICM6")
--------------------------------------------
(a) Amount Beneficially Owned: 525,000
(b) Percent of Class: 4.4%
(c) Number of shares as to which such person has:
1. Sole power to vote or to direct vote: -0-
2. Shared power to vote or to direct vote: 525,000
3. Sole power to dispose or to direct the
disposition: -0-
4. Shared power to dispose or to direct the
disposition: 525,000
Page 8 of 13 Pages
B. Integral Capital Management VII, LLC ("ICM7")
---------------------------------------------
(a) Amount Beneficially Owned: 135,000
(b) Percent of Class: 1.1%
(c) Number of shares as to which such person has:
1. Sole power to vote or to direct vote: -0-
2. Shared power to vote or to direct vote: 135,000
3. Sole power to dispose or to direct the
disposition: -0-
4. Shared power to dispose or to direct the
disposition: 135,000
C. Integral Capital Partners VI, L.P. ("ICP6")
-------------------------------------------
(a) Amount Beneficially Owned: 525,000
(b) Percent of Class: 4.4%
(c) Number of shares as to which such person has:
1. Sole power to vote or to direct vote: -0-
2. Shared power to vote or to direct vote: 525,000
3. Sole power to dispose or to direct the
disposition: -0-
4. Shared power to dispose or to direct the
disposition: 525,000
D. Integral Capital Partners VII, L.P. ("ICP7")
--------------------------------------------
(a) Amount Beneficially Owned: 135,000
(b) Percent of Class: 1.1%
(c) Number of shares as to which such person has:
1. Sole power to vote or to direct vote: -0-
2. Shared power to vote or to direct vote: 135,000
3. Sole power to dispose or to direct the
disposition: -0-
4. Shared power to dispose or to direct the
disposition: 135,000
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
--------------------------------------------
If this statement is being filed to report the fact that as of
the date hereof the reporting person has ceased to be the beneficial owner of
more than five percent of the class of securities, check the following [ ].
Page 9 of 13 Pages
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
---------------------------------------------------------------
Not applicable.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT
HOLDING COMPANY.
---------------------------------------------------------
Not applicable.
ITEM 8. IDENTIFICATION AND CLASSIFCATION OF MEMBERS OF THE GROUP.
---------------------------------------------------------
Not applicable.
ITEM 9. NOTICE OF DISSOLUTION OF GROUP.
------------------------------
Not applicable.
ITEM 10. CERTIFICATION.
-------------
By signing below I certify that, to the best of my knowledge
and belief, the securities referred to above were not acquired and are not held
for the purpose of or with the effect of changing or influencing the control of
the issuer of the securities and were not acquired and are not held in
connection with or as a participant in any transaction having that purpose or
effect.
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.
Dated: May 12, 2005
INTEGRAL CAPITAL MANAGEMENT VI, LLC
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
Page 10 of 13 Pages
INTEGRAL CAPITAL MANAGEMENT VII, LLC
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
INTEGRAL CAPITAL PARTNERS VI, L.P.
By Integral Capital Management VI, LLC,
its General Partner
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
INTEGRAL CAPITAL PARTNERS VII, L.P.
By Integral Capital Management VII, LLC
its General Partner
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
Page 11 of 13 Pages
EXHIBIT INDEX
Found on
Sequentially
Exhibit Numbered Page
- ------- -------------
Exhibit A: Agreement of Joint Filing 12
Page 12 of 13 Pages
EXHIBIT A
Agreement of Joint Filing
The undersigned hereby agree that they are filing jointly
pursuant to Rule 13d-1(k)(1) of the Act the statement dated May 12, 2005
containing the information required by Schedule 13G, for the 660,000 Shares of
capital stock of NeuroMetrix, Inc. held by Integral Capital Partners VI, L.P., a
Delaware limited partnership, and Integral Capital Partners VII, L.P., a
Delaware limited partnership.
Date: May 12, 2005
INTEGRAL CAPITAL MANAGEMENT VI, LLC
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
INTEGRAL CAPITAL MANAGEMENT VII, LLC
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
INTEGRAL CAPITAL PARTNERS VI, L.P.
By Integral Capital Management VI, LLC,
its General Partner
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
Page 13 of 13 Pages
INTEGRAL CAPITAL PARTNERS VII, L.P.
By Integral Capital Management VII, LLC,
its General Partner
By /s/ Pamela K. Hagenah
------------------------------------
Pamela K. Hagenah
a Manager
