13D Filing: Intersouth Partners VI LP and Alimera Sciences Inc (ALIM)

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Page 4 of 19 – SEC Filing


CUSIP No. 016259103 Page
4
of 19
  1.

Name of
Reporting Person

I.R.S. Identification No. of Above Person (Entities Only)

Intersouth Associates V, LLC

  2.

Check the Appropriate Box if a Member
of a Group

(a)  ☒        (b)  ☐

  3.

SEC Use Only

  4.

Source of Funds (See Instructions)

WC

  5.

Check if Disclosure of Legal
Proceeding Is Required Pursuant to Items 2(d) or 2(e)

Not Applicable

  6.

Citizenship or Place of
Organization

Delaware

Number of

Shares

Beneficially

Owned By

Each

Reporting

Person

with

  7.

Sole Voting Power

0

  8.

Shared Voting Power

314,236

  9.

Sole Dispositive Power

0

10.

Shared Dispositive Power

314,236

11.

Aggregate Amount Beneficially Owned by Each Reporting Person

314,236

12.

Check Box if the Aggregate Amount in
Row (11) Excludes Certain Shares

13.

Percent of Class Represented by
Amount in Row (11)

0.5%

14.

Type of Reporting Person

CO

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