4//SEC Filing
Holmes W Stephen 4
Accession 0001140361-17-038669
CIK 0001409269other
Filed
Oct 12, 8:00 PM ET
Accepted
Oct 13, 7:01 PM ET
Size
14.8 KB
Accession
0001140361-17-038669
Insider Transaction Report
Form 4
NASR KHALED
10% Owner
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
InterWest Partners IX, LP
10% Owner
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
ORONSKY ARNOLD L
10% Owner
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
GIANOS PHILIP T
10% Owner
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
Holmes W Stephen
10% Owner
Transactions
- Other
Convertible Promissory Note
2017-10-11$1183713.69/shExercise: $7.00→ Common Stock
Footnotes (4)
- [F1]The securities were originally acquired from the Issuer on September 6, 2017; however, the conversion price was set upon the pricing of the Issuer's Initial Public Offering (the "IPO").
- [F2]The amount reported represents the principal amount of the Reporting Person's Convertible Promissory Note (the "Note") only. Accrued interest of 5% per year based on the actual number of days outstanding through the conversion date will also convert.
- [F3]The outstanding principal and accrued interest of the Note automatically converts into shares of the Issuer's Common Stock at the price per share available to the public as set forth in the final prospectus related to the IPO upon the closing of the IPO; if not so converted, the Note has a maturity date of September 6, 2018, at which time it will automatically convert into shares of the Issuer's capital stock.
- [F4]The convertible promissory note is directly held by InterWest Partners IX, LP ("InterWest IX"). InterWest Management Partners IX, LLC ("IMP IX"), as the general partner of InterWest IX, may be deemed to beneficially own the shares held by InterWest IX. Philip Gianos, Arnold Oronsky, Gilbert Kliman, W. Stephen Holmes and Khaled Nasr are managing directors of IMP IX, and as such may be deemed to beneficially own the shares held by InterWest IX. Each of the foregoing persons disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
Documents
Issuer
Restoration Robotics Inc
CIK 0001409269
Entity typeother
Related Parties
1- filerCIK 0001293923
Filing Metadata
- Form type
- 4
- Filed
- Oct 12, 8:00 PM ET
- Accepted
- Oct 13, 7:01 PM ET
- Size
- 14.8 KB