Sec Form 4 Filing - PTV SCIENCES II L P @ Apollo Endosurgery, Inc. - 2017-11-15

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
PTV SCIENCES II L P
2. Issuer Name and Ticker or Trading Symbol
Apollo Endosurgery, Inc. [ APEN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY, SUITE B180,
3. Date of Earliest Transaction (MM/DD/YY)
11/15/2017
(Street)
AUSTIN, TX78746
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/15/2017 J( 1 ) 1,266,909 D 0 I By PTV Evergreen Fund, L.P. ( 2 )
Common Stock 11/15/2017 J( 1 ) 12,669 A 12,669 I By PTV GP Evergreen, L.P. ( 3 )
Common Stock 11/15/2017 J( 4 ) 12,669 D 0 I By PTV GP Evergreen, L.P. ( 3 )
Common Stock 2,199,186 I By PTV Sciences II, L.P. ( 5 )
Common Stock 1,347,565 I By PTV IV, L.P. ( 6 )
Common Stock 605,712 I By PTV Special Opportunities I, L.P. ( 7 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PTV SCIENCES II L P
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV Special Opportunities I, L.P.
3600 N CAPITAL OF TEXAS HWY
SUITE B180
AUSTIN, TX78746
X
PTV Evergreen Fund, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
Pinto Technology Ventures GP II, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV GP IV, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV GP SO I, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV GP Evergreen, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
Pinto TV GP CO LLC
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV GP III Management, LLC
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
PTV IV, L.P.
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN, TX78746
X
Signatures
PTV Sciences II, L.P., By: Pinto Technology Ventures GP II, L.P., its general partner, By: Pinto TV GP Company LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV IV, L.P., By: PTV GP IV, L.P., its general partner, By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV Special Opportunities I, L.P., By: PTV GP SO I, L.P., its general partner, By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV Evergreen Fund, L.P., By: PTV GP Evergreen, L.P., its general partner, By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
Pinto Technology Ventures GP II, L.P., By: Pinto TV GP Company LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV GP IV, L.P., By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV GP SO I, L.P., By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV GP Evergreen, L.P., By: PTV GP III Management, LLC, its general partner, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
Pinto TV GP Company LLC, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
PTV GP III Management, LLC, By: /s/ Matthew S. Crawford, Its: Manager 11/30/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents in-kind distribution by PTV Evergreen Fund, L.P. to its partners (including PTV GP Evergreen, L.P.) without consideration.
( 2 )These securities are owned by PTV Evergreen Fund, L.P. ("PTV EG"). PTV GP III Management, LLC ("PTV GPM") is the sole general partner of PTV GP Evergreen, L.P. ("PTV GP EG"), which is the sole general partner of PTV EG. Accordingly, PTV GP EG and PTV GPM may be deemed to have voting and investment control over the shares owned by PTV EG. The managers of PTV GPM are Matthew S. Crawford and Rick D. Anderson, who may be deemed to share voting and investment control over the shares owned by PTV EG. Each of PTV GP EG and PTV GPM disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
( 3 )These securities are owned by PTV GP EG. PTV GPM is the sole general partner of PTV GP EG. Accordingly, PTV GPM may be deemed to have voting and investment control over the shares owned by PTV GP EG. The managers of PTV GPM are Matthew S. Crawford and Rick D. Anderson, who may be deemed to share voting and investment control over the shares owned by PTV GP EG. PTV GPM disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
( 4 )Represents in-kind distribution by PTV GP EG to its partners without consideration.
( 5 )These securities are owned by PTV Sciences II, L.P. ("PTV II"). Pinto TV GP Company LLC ("PTV GPC") is the sole general partner of Pinto Technology Ventures GP II, L.P. ("PTV GP II"), which is the sole general partner of PTV II. . Accordingly, PTV GP II and PTV GPC may be deemed to have voting and investment control over the shares owned by PTV II. The managers of PTV GPC are Matthew S. Crawford and Rick D. Anderson, who may be deemed to share voting and investment control over the shares owned by PTV II. Each of PTV GP II and PTV GPC disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
( 6 )These securities are owned by PTV IV, L.P. ("PTV IV"). PTV GP III Management, LLC ("PTV GPM") is the sole general partner of PTV GP IV, L.P. ("PTV GP IV"), which is the sole general partner of PTV IV. Accordingly, PTV GP IV and PTV GPM may be deemed to have voting and investment control over the shares owned by PTV IV. The managers of PTV GPM are Matthew S. Crawford and Rick D. Anderson, who may be deemed to share voting and investment control over the shares owned by PTV IV. The Reporting Person disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein. Each of PTV GP IV and PTV GPM disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
( 7 )These securities are owned by PTV Special Opportunities I, L.P. ("PTV SO"). PTV GP III Management, LLC ("PTV GPM") is the sole general partner of PTV GP SO I, L.P. ("PTV GP SO"), which is the sole general partner of PTV SO. Accordingly, PTV GP SO and PTV GPM may be deemed to have voting and investment control over the shares owned by PTV SO. The managers of PTV GPM are Matthew S. Crawford and Rick D. Anderson, who may be deemed to share voting and investment control over the shares owned by PTV SO. The Reporting Person disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein. Each of PTV GP SO and PTV GPM disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.

Remarks:
Matthew S. Crawford and Rick D. Anderson are both directors of the Issuer and accordingly file separate Section 16 reports.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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