Sec Form 3 Filing - Presidio Management Group X LLC @ Inari Medical, Inc. - 2020-05-21

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Presidio Management Group X LLC
2. Issuer Name and Ticker or Trading Symbol
Inari Medical, Inc. [ NARI]
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)
1460 EL CAMINO REAL, SUITE 100
3. Date of Earliest Transaction (MM/DD/YY)
05/21/2020
(Street)
MENLO PARK, CA94025
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
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
Series A Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 2,307,142 I Directly Owned by USVP X ( 2 )
Series A Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 73,809 I Directly Owned by AFF X ( 2 )
Series B Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 2,899,876 I Directly Owned by USVP X ( 2 )
Series B Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 92,771 I Directly Owned by AFF X ( 2 )
Series C Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 2,278,331 I Directly Owned by USVP X ( 2 )
Series C Preferred Stock ( 1 ) ( 1 ) ( 1 ) Common Stock 72,887 I Directly Owned by AFF X ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Presidio Management Group X LLC
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
US VENTURE PARTNERS X LP
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
USVP X AFFILIATES LP
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
FEDERMAN IRWIN
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
KRAUSZ STEVEN M
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
Lewis Richard W.
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
Matteucci Paul A
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
Tansey Casey M
1460 EL CAMINO REAL, SUITE 100
MENLO PARK, CA94025
X
Signatures
Presidio Management Group X, L.L.C., By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
U.S. Venture Partners X, L.P, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
USVP X Affiliates, L.P, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Irwin Federman, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Steven M Krausz, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Richard W. Lewis, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Paul Matteucci, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Casey M. Tansey, By: /s/ Dale Holladay - Attorney in Fact 05/21/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of the Issuer's preferred stock is convertible on a one-to-one basis into shares of the Issuer's common stock at the holder's election and has no expiration date. The preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering.
( 2 )The reported securities are owned directly by each of U.S. Venture Partners X, L.P. ("USVP X") and USVP X Affiliates Fund, L.P. ("AFF X") (together, the "USVP X Funds"). Presidio Management Group X, L.L.C. ("PMG X") is the general partner of each of the USVP X F unds and may be deemed to have sole voting and dispositive power over the reported securities held by the USVP X Funds. Jonathan D. Root, a director of the issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by the USVP X Funds. Such persons and entities disclaim beneficial ownership of the reported securities held by the USVP X Funds, except to the extent of any pecuniary interest therein

Remarks:
Exhibit List: Exhibit 24 - Power of Attorney

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