4//SEC Filing
Stack Richard S. 4
Accession 0001104659-18-031870
CIK 0001609550other
Filed
May 8, 8:00 PM ET
Accepted
May 9, 9:22 PM ET
Size
28.1 KB
Accession
0001104659-18-031870
Insider Transaction Report
Form 4
SYNERGY LIFE SCIENCE PARTNERS L P
10% Owner
Transactions
- Conversion
Common Stock
2018-05-07+741,494→ 741,494 total - Conversion
Common Stock
2018-05-07+419,663→ 1,161,157 total - Conversion
Series B Convertible Preferred Stock
2018-05-07−3,998,154→ 0 total→ Common Stock (741,494 underlying) - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,299,847→ 0 total→ Common Stock (195,465 underlying) - Conversion
Series C Convertible Preferred Stock
2018-05-07−2,790,760→ 0 total→ Common Stock (419,663 underlying) - Conversion
Common Stock
2018-05-07+272,391→ 1,629,013 total - Conversion
Common Stock
2018-05-07+466,494→ 2,095,507 total - Conversion
Common Stock
2018-05-07+195,465→ 1,356,622 total - Conversion
Series E Convertible Preferred Stock
2018-05-07−1,576,336→ 0 total→ Common Stock (272,391 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−3,102,190→ 0 total→ Common Stock (466,494 underlying)
Synergy Venture Partners, LLC
10% Owner
Transactions
- Conversion
Series B Convertible Preferred Stock
2018-05-07−3,998,154→ 0 total→ Common Stock (741,494 underlying) - Conversion
Common Stock
2018-05-07+419,663→ 1,161,157 total - Conversion
Common Stock
2018-05-07+741,494→ 741,494 total - Conversion
Series E Convertible Preferred Stock
2018-05-07−1,576,336→ 0 total→ Common Stock (272,391 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−3,102,190→ 0 total→ Common Stock (466,494 underlying) - Conversion
Common Stock
2018-05-07+195,465→ 1,356,622 total - Conversion
Common Stock
2018-05-07+272,391→ 1,629,013 total - Conversion
Common Stock
2018-05-07+466,494→ 2,095,507 total - Conversion
Series C Convertible Preferred Stock
2018-05-07−2,790,760→ 0 total→ Common Stock (419,663 underlying) - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,299,847→ 0 total→ Common Stock (195,465 underlying)
Stack Richard S.
10% Owner
Transactions
- Conversion
Common Stock
2018-05-07+419,663→ 1,161,157 total - Conversion
Common Stock
2018-05-07+272,391→ 1,629,013 total - Conversion
Common Stock
2018-05-07+466,494→ 2,095,507 total - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,299,847→ 0 total→ Common Stock (195,465 underlying) - Conversion
Series E Convertible Preferred Stock
2018-05-07−1,576,336→ 0 total→ Common Stock (272,391 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−3,102,190→ 0 total→ Common Stock (466,494 underlying) - Conversion
Common Stock
2018-05-07+195,465→ 1,356,622 total - Conversion
Series B Convertible Preferred Stock
2018-05-07−3,998,154→ 0 total→ Common Stock (741,494 underlying) - Conversion
Series C Convertible Preferred Stock
2018-05-07−2,790,760→ 0 total→ Common Stock (419,663 underlying) - Conversion
Common Stock
2018-05-07+741,494→ 741,494 total
Starling William N JR
10% Owner
Transactions
- Conversion
Common Stock
2018-05-07+195,465→ 1,356,622 total - Conversion
Common Stock
2018-05-07+419,663→ 1,161,157 total - Conversion
Common Stock
2018-05-07+466,494→ 2,095,507 total - Conversion
Common Stock
2018-05-07+741,494→ 741,494 total - Conversion
Series B Convertible Preferred Stock
2018-05-07−3,998,154→ 0 total→ Common Stock (741,494 underlying) - Conversion
Series E Convertible Preferred Stock
2018-05-07−1,576,336→ 0 total→ Common Stock (272,391 underlying) - Conversion
Common Stock
2018-05-07+272,391→ 1,629,013 total - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,299,847→ 0 total→ Common Stock (195,465 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−3,102,190→ 0 total→ Common Stock (466,494 underlying) - Conversion
Series C Convertible Preferred Stock
2018-05-07−2,790,760→ 0 total→ Common Stock (419,663 underlying)
Footnotes (4)
- [F1]Shares of Series B Convertible Preferred Stock automatically converted into shares of the Issuer's Common Stock at a 1-for-0.1855 conversion rate immediately prior to the closing of the Issuer's initial public offering ("IPO") for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Issuer's Sixth Amended and Restated Certificate of Incorporation (as amended, the "Certificate of Incorporation")). These shares had no expiration date.
- [F2]Shares of Series C, Series D and Series F Convertible Preferred Stock automatically converted into shares of the Issuer's Common Stock at a 1-for-0.1504 conversion rate immediately prior to the closing of the Issuer's IPO for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Issuer's Certificate of Incorporation). These shares had no expiration date.
- [F3]Shares of Series E Convertible Preferred Stock automatically converted into shares of the Issuer's Common Stock at a 1-for-0.1728 conversion rate immediately prior to the closing of the Issuer's IPO for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Issuer's Certificate of Incorporation). These shares had no expiration date.
- [F4]Synergy Venture Partners, LLC ("SVP LLC") serves as the sole General Partner of Synergy Life Science Partners, LP ("Synergy"). As such, SVP LLC possesses sole voting and investment control over the securities owned by Synergy, and may be deemed to have indirect beneficial ownership of the securities held by Synergy. SVP LLC, however, owns no securities of the Issuer directly. Mudit K. Jain, a director of the Issuer, and each of Messrs. Stack and Starling are Managers of SVP LLC and share voting and dispositive power over the shares held by Synergy. Such persons and entities disclaim beneficial ownership of the shares held by Synergy except to the extent of his or its proportionate pecuniary interest therein.
Documents
Issuer
Inspire Medical Systems, Inc.
CIK 0001609550
Entity typeother
Related Parties
1- filerCIK 0001584403
Filing Metadata
- Form type
- 4
- Filed
- May 8, 8:00 PM ET
- Accepted
- May 9, 9:22 PM ET
- Size
- 28.1 KB