Sec Form 4 Filing - Di Sisto Domenic @ Venus Concept Inc. - 2019-11-07

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
Di Sisto Domenic
2. Issuer Name and Ticker or Trading Symbol
Venus Concept Inc. [ VERO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
General Counsel and Corp. Sec.
(Last) (First) (Middle)
C/O VENUS CONCEPT INC., 235 YORKLAND BLVD., SUITE 900
3. Date of Earliest Transaction (MM/DD/YY)
11/07/2019
(Street)
TORONTO, A6M2J 4Y8
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ 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
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
Employee Stock Options (right to buy) $ 7.05 11/07/2019 A 57,670 ( 1 ) 11/08/2028 Common Stock 57,670 ( 2 ) 57,670 D
Employee Stock Options (right to buy) $ 7.05 11/07/2019 A 5,767 ( 3 ) 02/26/2028 Common Stock 5,767 ( 4 ) 5,767 D
Employee Stock Options (right to buy) $ 7.95 11/07/2019 A 4,613 ( 5 ) 08/08/2028 Common Stock 4,613 ( 6 ) 4,613 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Di Sisto Domenic
C/O VENUS CONCEPT INC.
235 YORKLAND BLVD., SUITE 900
TORONTO, A6M2J 4Y8
General Counsel and Corp. Sec.
Signatures
/s/ Domenic Di Sisto 11/07/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )As of the Transaction Date, 30,030 of these options to acquire Common Stock of the Issuer are fully vested and exercisable. The remaining balance of 27,640 options vest ratably and become exercisable each month from November 25, 2019 to September 25, 2021.
( 2 )Received, in connection with the merger of a wholly-owned subsidiary of Restoration Robotics, Inc. with and into Venus Concept Ltd. (the "Merger"), in exchange for an employee stock option to acquire 100,000 Venus Concept Ltd. ordinary shares with an original exercise price of $4.00 per share.
( 3 )As of the Transaction Date, 2,400 of these options to acquire Common Stock of the Issuer are fully vested and exercisable. Of the remaining balance, 120 options vest and become exercisable monthly from November 15, 2019 to January 15, 2022, with the final tranche of 127 options vesting on February 15, 2022.
( 4 )Received, in connection with the Merger, in exchange for an employee stock option to acquire 10,000 Venus Concept Ltd. ordinary shares with an original exercise price of $4.00 per share.
( 5 )As of the Transaction Date, 1,343 of these options to acquire Common Stock of the Issuer are fully vested and exercisable. The remaining balance of 3,270 options vest ratably and become exercisable each month from November 25, 2019 to August 25, 2022.
( 6 )Received, in connection with the Merger, in exchange for an employee stock option to acquire 8,000 Venus Concept Ltd. ordinary shares with an original exercise price of $4.57 per share.

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