4//SEC Filing
KLEINER PERKINS CAUFIELD & BYERS XII, LLC 4
Accession 0001144204-18-026778
CIK 0001609550other
Filed
May 8, 8:00 PM ET
Accepted
May 9, 9:30 PM ET
Size
32.8 KB
Accession
0001144204-18-026778
Insider Transaction Report
Form 4
Transactions
- Conversion
Common Stock
2018-05-07+360,902→ 360,902 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+472,581→ 1,223,376 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+210,147→ 1,433,523 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+339,759→ 1,937,244 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Series B Convertible Preferred Stock
2018-05-07−2,102,315→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (389,893 underlying) - Conversion
Common Stock
2018-05-07+389,893→ 750,795 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+163,962→ 1,597,485 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Series A Convertible Preferred Stock
2018-05-07−2,400,000→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (360,902 underlying) - Conversion
Series C Convertible Preferred Stock
2018-05-07−3,142,670→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (472,581 underlying) - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,397,478→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (210,147 underlying) - Conversion
Series E Convertible Preferred Stock
2018-05-07−948,855→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (163,962 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−2,259,399→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (339,759 underlying)
KPCB XII Founders Fund, LLC
10% Owner
Transactions
- Conversion
Series C Convertible Preferred Stock
2018-05-07−3,142,670→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (472,581 underlying) - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,397,478→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (210,147 underlying) - Conversion
Series E Convertible Preferred Stock
2018-05-07−948,855→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (163,962 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−2,259,399→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (339,759 underlying) - Conversion
Common Stock
2018-05-07+360,902→ 360,902 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+389,893→ 750,795 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+472,581→ 1,223,376 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+210,147→ 1,433,523 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+163,962→ 1,597,485 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+339,759→ 1,937,244 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Series A Convertible Preferred Stock
2018-05-07−2,400,000→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (360,902 underlying) - Conversion
Series B Convertible Preferred Stock
2018-05-07−2,102,315→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (389,893 underlying)
KPCB XII Associates, LLC
10% Owner
Transactions
- Conversion
Common Stock
2018-05-07+389,893→ 750,795 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+163,962→ 1,597,485 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+360,902→ 360,902 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+472,581→ 1,223,376 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Common Stock
2018-05-07+339,759→ 1,937,244 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Series B Convertible Preferred Stock
2018-05-07−2,102,315→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (389,893 underlying) - Conversion
Series D Convertible Preferred Stock
2018-05-07−1,397,478→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (210,147 underlying) - Conversion
Series F Convertible Preferred Stock
2018-05-07−2,259,399→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (339,759 underlying) - Conversion
Series C Convertible Preferred Stock
2018-05-07−3,142,670→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (472,581 underlying) - Conversion
Series E Convertible Preferred Stock
2018-05-07−948,855→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (163,962 underlying) - Conversion
Common Stock
2018-05-07+210,147→ 1,433,523 total(indirect: By KPCB Holdings, Inc., as nominee) - Conversion
Series A Convertible Preferred Stock
2018-05-07−2,400,000→ 0 total(indirect: By KPCB Holdings, Inc., as nominee)→ Common Stock (360,902 underlying)
Footnotes (5)
- [F1]Shares of Series A, Series B, Series C, Series D, Series E and Series F Convertible Preferred Stock (collectively, the "Convertible Preferred Stock") have no expiration date and were automatically converted into shares of Common Stock for no additional consideration immediately prior to the closing of the Issuer's initial public offering.
- [F2]Shares of Series A, Series C, Series D and Series F Convertible Preferred Stock are convertible into shares of Common Stock at a 1-for-0.1504 conversion rate.
- [F3]Consists of shares beneficially owned by Kleiner Perkins Caufield & Byers XII, LLC ("KPCB XII"), KPCB XII Founders Fund, LLC ("KPCB XII FF"), and individuals and entities associated with Kleiner Perkins Caufield & Byers. All shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the accounts of such individuals and entities. The managing member of KPCB XII and KPCB XII FF is KPCB XII Associates, LLC ("KPCB XII Associates"). Brook Byers, L. John Doerr, Raymond Lane and Theodore Schlein, the managers of KPCB XII Associates, exercise shared voting and dispositive control over the shares held by KPCB XII and KPCB XII FF. KPCB XII and each of its managers disclaim beneficial ownership of such shares except to the extent of any pecuniary interest therein.
- [F4]Shares of Series B Convertible Preferred Stock are convertible into shares of Common Stock at a 1-for-0.1855 conversion rate.
- [F5]Shares of Series E Convertible Preferred Stock are convertible into shares of Common Stock at a 1-for-0.1728 conversion rate.
Documents
Issuer
Inspire Medical Systems, Inc.
CIK 0001609550
Entity typeother
Related Parties
1- filerCIK 0001355934
Filing Metadata
- Form type
- 4
- Filed
- May 8, 8:00 PM ET
- Accepted
- May 9, 9:30 PM ET
- Size
- 32.8 KB