Home/Filings/4/0001235802-15-000017
4//SEC Filing

ENTELLUS MEDICAL INC 4

Accession 0001235802-15-000017

CIK 0001374128operating

Filed

Feb 3, 7:00 PM ET

Accepted

Feb 4, 5:19 PM ET

Size

27.1 KB

Accession

0001235802-15-000017

Insider Transaction Report

Form 4
Period: 2015-02-03
Transactions
  • Conversion

    Series D Convertible Preferred Stock

    2015-02-032,754,0340 total
    Common Stock (688,508 underlying)
  • Conversion

    Series C Convertible Preferred Stock

    2015-02-03743,4660 total
    Common Stock (250,876 underlying)
  • Conversion

    Common Stock

    2015-02-03+621,547921,547 total
  • Purchase

    Common Stock

    2015-02-03$17.00/sh+352,941$5,999,9973,156,731 total
  • Conversion

    Common Stock

    2015-02-03+250,8761,172,423 total
  • Conversion

    Common Stock

    2015-02-03+688,5081,860,931 total
  • Conversion

    Series A Convertible Preferred Stock

    2015-02-031,200,0000 total
    Common Stock (300,000 underlying)
  • Conversion

    Common Stock

    2015-02-03+300,000300,000 total
  • Conversion

    Common Stock

    2015-02-03+942,8592,803,790 total
  • Conversion

    Series B Convertible Preferred Stock

    2015-02-032,486,1880 total
    Common Stock (621,547 underlying)
  • Conversion

    Series E Convertible Preferred Stock

    2015-02-033,771,4380 total
    Common Stock (942,859 underlying)
Transactions
  • Conversion

    Common Stock

    2015-02-03+621,547921,547 total
  • Conversion

    Series C Convertible Preferred Stock

    2015-02-03743,4660 total
    Common Stock (250,876 underlying)
  • Conversion

    Series E Convertible Preferred Stock

    2015-02-033,771,4380 total
    Common Stock (942,859 underlying)
  • Conversion

    Common Stock

    2015-02-03+300,000300,000 total
  • Conversion

    Common Stock

    2015-02-03+250,8761,172,423 total
  • Conversion

    Common Stock

    2015-02-03+942,8592,803,790 total
  • Conversion

    Series B Convertible Preferred Stock

    2015-02-032,486,1880 total
    Common Stock (621,547 underlying)
  • Conversion

    Common Stock

    2015-02-03+688,5081,860,931 total
  • Purchase

    Common Stock

    2015-02-03$17.00/sh+352,941$5,999,9973,156,731 total
  • Conversion

    Series A Convertible Preferred Stock

    2015-02-031,200,0000 total
    Common Stock (300,000 underlying)
  • Conversion

    Series D Convertible Preferred Stock

    2015-02-032,754,0340 total
    Common Stock (688,508 underlying)
Footnotes (4)
  • [F1]Reflects a 1-for-4 reverse stock split effected as of January 12, 2015.
  • [F2]Each outstanding share of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock automatically converted into 1/4 of a share of the Issuer's common stock, immediately prior to the closing of the Issuer's initial public offering, for no additional consideration (subject to payment of cash for any fractional shares, in accordance with the Issuer's certificate of incorporation). These shares had no expiration date.
  • [F3]The securities are owned directly by Split Rock Partners, LP ("SRP"). Voting and investment power over the securities is delegated to Split Rock Partners Management, LLC ("SRPM"), the general partner of SRP. SRPM has delegated voting and investment decisions to Michael Gorman, James Simons and David Stassen (collectively, the "General Partner Designees"), who require a two-thirds vote to act. Each of the General Partner Designees disclaims beneficial ownership of the securities except to the extent of any pecuniary interest therein.
  • [F4]Each outstanding share of Series C Convertible Preferred Stock automatically converted into 0.3374 of a share of the Issuer's common stock, immediately prior to the closing of the Issuer's initial public offering, for no additional consideration (subject to payment of cash for any fractional shares, in accordance with the Issuer's certificate of incorporation). These shares had no expiration date.

Issuer

ENTELLUS MEDICAL INC

CIK 0001374128

Entity typeoperating
IncorporatedDE

Related Parties

1
  • filerCIK 0001374128

Filing Metadata

Form type
4
Filed
Feb 3, 7:00 PM ET
Accepted
Feb 4, 5:19 PM ET
Size
27.1 KB