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Sec Form 4 Filing - Presidio Management Group X LLC @ Inari Medical Inc. - 2020-05-27

  1. About Form 4 Filing: Every director, officer or owner of more than ten percent of a class of equity securities registered under Section 12 of the '34 Act must file with the U.S. Securities and Exchange Commission (SEC) a statement of ownership regarding such security. The initial filing is on Form 3 and changes are reported on Form 4. The Annual Statement of beneficial ownership of securities is on Form 5. The forms contain information on the reporting person's relationship to the company and on purchases and sales of such equity securities.
  2. Form 4 is stored in SEC's EDGAR database. EDGAR is Electronic Data Gathering, Analysis and Retrieval System. It is a registered trademark of the SEC.

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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 *
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)
05/27/2020
(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
Common Stock 05/27/2020 C 2,307,142 A 2,307,142 I Directly owned by USVP X ( 2 )
Common Stock 05/27/2020 C 2,899,876 A 5,207,018 I Directly owned by USVP X ( 2 )
Common Stock 05/27/2020 C 2,278,331 A 7,485,349 I Directly owned by USVP X ( 2 )
Common Stock 05/27/2020 C 73,809 A 73,809 I Directly owned by AFF X ( 2 )
Common Stock 05/27/2020 C 92,771 A 166,580 I Directly owned by AFF X ( 2 )
Common Stock 05/27/2020 C 72,887 A 239,467 I Directly owned by AFF X ( 2 )
Common Stock 05/27/2020 P 97,962 A $ 19 97,962 I Directly owned by Casey Tansey
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 ) 05/27/2020 C 2,307,142 ( 1 ) ( 1 ) Common Stock 2,307,142 $ 0 0 I Directly owned by USVP X ( 2 )
Series A Preferred Stock ( 1 ) 05/27/2020 C 73,809 ( 1 ) ( 1 ) Common Stock 73,809 $ 0 0 I Directly owned by AFF X ( 2 )
Series B Preferred Stock ( 1 ) 05/27/2020 C 2,899,876 ( 1 ) ( 1 ) Common Stock 2,899,876 $ 0 0 I Directly owned by USVP X ( 2 )
Series B Preferred Stock ( 1 ) 05/27/2020 C 92,771 ( 1 ) ( 1 ) Common Stock 92,771 $ 0 0 I Directly owned by AFF X ( 2 )
Series C Preferred Stock ( 1 ) 05/27/2020 C 2,278,331 ( 1 ) ( 1 ) Common Stock 2,278,331 $ 0 0 I Directly owned by USVP X ( 2 )
Series C Preferred Stock ( 1 ) 05/27/2020 C 72,887 ( 1 ) ( 1 ) Common Stock 72,887 $ 0 0 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 05/27/2020
** Signature of Reporting Person Date
U.S. Venture Partners X, L.P, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
USVP X Affiliates, L.P, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
Irwin Federman, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
Steven M Krausz, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
Richard W. Lewis, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
Paul Matteucci, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** Signature of Reporting Person Date
Casey M. Tansey, By: /s/ Dale Holladay - Attorney in Fact 05/27/2020
** 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 Funds 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

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.