K2M GROUP HOLDINGS, INC. 4
4 · K2M GROUP HOLDINGS, INC. · Filed Mar 8, 2017
Insider Transaction Report
Form 4
QUAELLY PAUL B
10% Owner
Transactions
- Other
Common Stock
2017-03-08−78,849→ 0 total(indirect: By WCAS Capital Partners IV, L.P.) - Other
Common Stock
2017-03-08+1,922→ 1,922 total(indirect: By Trust) - Other
Common Stock
2017-03-08−5,384,858→ 0 total(indirect: By Welsh, Carson, Anderson & Stowe XI, L.P.) - Other
Common Stock
2017-03-08+77,117→ 81,556 total - Other
Common Stock
2017-03-08+866→ 866 total(indirect: By LLC)
Footnotes (4)
- [F1]Distribution-in-kind of shares by Welsh, Carson, Anderson & Stowe XI, L.P. and WCAS Capital Partners IV, L.P. pro rata to their respective partners.
- [F2]The Reporting Person is a managing member of the respective sole general partners of Welsh, Carson, Anderson & Stowe XI, 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.
- [F3]The Reporting Person may also be deemed to have indirectly beneficially owned 386,851 shares of Common Stock held by WCAS XI Co-Investors LLC (including 368,704 shares received in the distribution from Welsh, Carson, Anderson & Stowe XI, L.P.), which on March 8, 2017 were distributed-in-kind by WCAS XI Co-Investors LLC pro rata to its members, including the Reporting Person. 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 owned by WCAS XI Co-Investors LLC. 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.
- [F4]The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecumiary interest, if any, therein.