SEC Form 4 · accession 0001093557-16-000699
DEXCOM INC · DXCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 9, 2016 | S | 25,000 | $94.0715 | D | 17,246 | I | by Partnership |
| Common Stock | holding | — | — | — | 5,011 | D | ||
| Common StockF3 | holding | — | — | — | 10,000 | I | by Daughter | |
| Common StockF4 | holding | — | — | — | 10,000 | I | by Spouse |
Table II — derivative securities
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $93.68 to $95.04. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transactions were effected.
- F2Shares are held by Skyler Bach Family Limited Partnership, LLP, with respect to which the reporting person is a managing partner of the partnership and maintains voting rights of these shares.
- F3Shares are held by Jennifer Skyler Living Trust, with respect to which the Reporting Person is a trustee.
- F4The reporting person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
Remarks
CONFIRMING STATEMENT: This Statement confirms that the undersigned Jay S. Skyler, M.D., has authorized and designated Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien to execute and file on the undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto) that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of DexCom, Inc. The authority of Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien under this Statement shall continue until the undersigned is no longer required to file Forms 3, 4, and 5 with regard to the undersigned's ownership of or transactions in securities of DexCom, Inc., unless earlier revoked in writing. The undersigned acknowledges that Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. Date: September 8, 2016 /s/ JAY S. SKYLER Jay S. Skyler