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Draper Fisher Jurvetson ePlanet Partners, Ltd., et al. – ‘4’ for 11/15/06 re: Solta Medical Inc.

On:  Thursday, 11/16/06, at 3:29pm ET   ·   For:  11/15/06   ·   As:  10% Owner   ·   Accession #:  1181431-6-64298   ·   File #:  1-33123

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

11/16/06  Draper Fisher Jurvetson ePla… Ltd 4          10% Owner   2:8K   Thermage Inc.                     R R Donnelley … Filer/FA
          Draper Fisher Jurvetson Eplanet Ventures LP

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 - Exit -- rrd135127.xml/2.2                  HTML      8K 
 2: EX-99       Exhibit 99 - Joint Filer Information                HTML      4K 


‘4’   —   Form 4 – Exit — rrd135127.xml/2.2




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 4 – Exit
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DRAPER FISHER JURVETSON EPLANET VENTURES LP

(Last)(First)(Middle)
2882 SAND HILL ROAD
SUITE 150

(Street)
MENLO PARKCA94025

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
THERMAGE INC [ THRM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/15/06
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock 11/15/06 C 1,359,872A (1)1,359,872D (2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Series C Convertible Preferred Stock (3) 11/15/06 C 1,359,872 (4) (1)Common Stock1,359,872 (1)0D (2)
1. Name and Address of Reporting Person*
DRAPER FISHER JURVETSON EPLANET VENTURES LP

(Last)(First)(Middle)
2882 SAND HILL ROAD
SUITE 150

(Street)
MENLO PARKCA94025

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Draper Fisher Jurvetson ePlanet Partners, Ltd.

(Last)(First)(Middle)
2882 SAND HILL ROAD
SUITE 150

(Street)
MENLO PARKCA94025

(City)(State)(Zip)
Explanation of Responses:
(1)  Not applicable.
(2)  The reported securities are owned by Draper Fisher Jurvetson ePlanet Ventures L.P. and indirectly by Draper Fisher Jurvetson ePlanet Partners, Ltd., as general partner of Draper Fisher Jurvetson ePlanet Ventures L.P. Draper Fisher Jurveston ePlanet Partners, Ltd. disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein.
(3)  1-for-1.
(4)  Immediately.
Remarks:
The reporting entities ceased to be 10% owners as of November 15, 2006.
/s/ John Fisher, for Draper Fisher Jurvetson ePlanet Partners, Ltd. as general partner of Draper Fisher Jurvetson ePlanet Ventures L.P. 11/15/06
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
____________
Transaction Code:
    C    Conversion of derivative security.

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Filing Submission 0001181431-06-064298   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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