4//SEC Filing
ALMEIDA JOHN 4
Accession 0000904454-09-000616
CIK 0001421419other
Filed
Oct 27, 8:00 PM ET
Accepted
Oct 28, 3:56 PM ET
Size
17.9 KB
Accession
0000904454-09-000616
Insider Transaction Report
Form 4
ALMEIDA JOHN
10% Owner
Transactions
- Conversion
Common Stock
2009-10-26+1,210,197→ 1,210,197 total(indirect: By WCAS Capital Partners IV, L.P.) - Conversion
Common Stock
2009-10-26+4,059→ 5,132 total - Conversion
Series A Preferred Stock
2009-10-26−116,789→ 0 total(indirect: By Welsh, Carson, Anderson & Stowe IX, L.P.)→ Common Stock (19,749,603 underlying) - Conversion
Series A Preferred Stock
2009-10-26−24→ 0 total→ Common Stock (4,059 underlying) - Conversion
Series B Preferred Stock
2009-10-26−1,879→ 0 total(indirect: By WCAS Capital Partners IV, L.P.)→ Common Stock (106,956 underlying) - Conversion
Series A Preferred Stock
2009-10-26−6,524→ 0 total(indirect: By WCAS Capital Partners IV, L.P.)→ Common Stock (1,103,241 underlying) - Conversion
Common Stock
2009-10-26+19,749,603→ 23,913,988 total(indirect: By Welsh, Carson, Anderson & Stowe IX, L.P.)
Footnotes (3)
- [F1]Upon consummation of the Issuer's initial public offering, each share of Preferred Stock automatically converted into Common Stock, for no additional consideration. The number of shares of Common Stock received upon conversion of Preferred Stock included shares issued in payment of accrued and unpaid dividends on such Preferred Stock as of the date of conversion.
- [F2]Reflects the 7.15 for 1 reverse split of the Common Stock effective concurrently with the conversion of the Preferred Stock.
- [F3]The Reporting Person is a managing member of the respective sole general partners of Welsh, Carson, Anderson & Stowe IX, L.P. and WCAS Capital Partners IV, L.P. Pursuant to Instruction (4)(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
Documents
Issuer
AGA Medical Holdings, Inc.
CIK 0001421419
Entity typeother
Related Parties
1- filerCIK 0001265976
Filing Metadata
- Form type
- 4
- Filed
- Oct 27, 8:00 PM ET
- Accepted
- Oct 28, 3:56 PM ET
- Size
- 17.9 KB