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4//SEC Filing

Holmes W Stephen 4

Accession 0001140361-17-038922

CIK 0001409269other
View on SEC.govCompany Profile

Filed

Oct 16, 8:00 PM ET

Accepted

Oct 17, 6:44 PM ET

Size

23.2 KB

Accession

0001140361-17-038922

Insider Transaction Report

Form 4
Period: 2017-10-16
Restoration Robotics IncHAIR
GIANOS PHILIP T
10% Owner
Transactions
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
ORONSKY ARNOLD L
10% Owner
Transactions
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
Holmes W Stephen
10% Owner
Transactions
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
InterWest Partners IX, LP
10% Owner
Transactions
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
InterWest Management Partners IX, LLC
10% Owner
Transactions
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
NASR KHALED
10% Owner
Transactions
  • Conversion

    Common Stock

    2017-10-16+1,538,461→ 1,538,461 total
  • Conversion

    Common Stock

    2017-10-16+1,647,297→ 3,185,758 total
  • Conversion

    Common Stock

    2017-10-16$7.00/sh+170,028$1,190,196→ 3,355,786 total
  • Conversion

    Series B Preferred Stock

    2017-10-16−1,538,461→ 0 total
    → Common Stock (1,538,461 underlying)
  • Conversion

    Series C Preferred Stock

    2017-10-16−1,647,297→ 0 total
    → Common Stock (1,647,297 underlying)
  • Conversion

    Convertible Promissory Note

    2017-10-16→ 0 total
    Exercise: $7.00→ Common Stock (170,028 underlying)
Footnotes (4)
  • [F1]The shares of the Issuer's Preferred Stock automatically converted into shares of the Issuer's Common Stock, for no additional consideration, on a 1:1 basis immediately prior to the consummation of the Issuer's Initial Public Offering (the "IPO").
  • [F2]The shares are 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.
  • [F3]The expiration date is not relevant to the conversion of these securities.
  • [F4]The amount reported in column 5 is the principal amount of Reporting Person's Convertible Promissory Note (the "Note"). The outstanding principal and accrued interest of the Note automatically converted 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 Issuer's IPO upon the closing of the IPO.

Documents

1 file

Issuer

Restoration Robotics Inc

CIK 0001409269

→
Entity typeother

Related Parties

1
  • filerCIK 0001293923

Filing Metadata

Form type
4
Filed
Oct 16, 8:00 PM ET
Accepted
Oct 17, 6:44 PM ET
Size
23.2 KB
View on SEC.gov