4//SEC Filing
Petersen Timothy 4
Accession 0001209191-18-055704
CIK 0001459839other
Filed
Oct 18, 8:00 PM ET
Accepted
Oct 19, 4:58 PM ET
Size
9.8 KB
Accession
0001209191-18-055704
Insider Transaction Report
Form 4
SI-BONE, Inc.SIBN
Petersen Timothy
Director
Transactions
- Conversion
Common Stock
2018-10-19+1,495,036→ 1,495,036 total(indirect: By Arboretum Ventures IV, LP) - Conversion
Series 7 Preferred Stock
2018-10-19−1,495,036→ 0 total(indirect: By Arboretum Ventures IV, LP)→ Common Stock (1,495,036 underlying) - Purchase
Common Stock
2018-10-19$15.00/sh+200,000$3,000,000→ 1,695,036 total(indirect: By Arboretum Ventures IV, LP)
Footnotes (2)
- [F1]The Issuer's Series 7 Preferred Stock automatically converted into an equal number of shares of Issuer's common stock immediately upon the closing of the Issuer's initial public offering and has no expiration date.
- [F2]Shares held by Arboretum Ventures IV, LP ("AV IV"). Arboretum Investment Manager IV, LLC ("AIM IV") serves as the general partner of AV IV. Jan Garfinkle, Timothy B. Petersen, a member of the Issuer's board of directors, and Paul McCreadie are managing members of AIM IV and share voting and dispositive power with regard to these shares and therefore each of the foregoing managing members may be deemed to have the same powers with respect to such shares. Mr. Petersen disclaims beneficial ownership of such shares except to the extent of his proportionate pecuniary interest, if any.
Documents
Issuer
SI-BONE, Inc.
CIK 0001459839
Entity typeother
Related Parties
1- filerCIK 0001592730
Filing Metadata
- Form type
- 4
- Filed
- Oct 18, 8:00 PM ET
- Accepted
- Oct 19, 4:58 PM ET
- Size
- 9.8 KB