SEC Form 4 · accession 0001104659-15-048961
GLAUKOS Corp · GKOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas William Burns
Officer — Chief Executive Officer · Director
Period of report
Jun 30, 2015
Accepted (ET)
Jun 30, 2015 · 5:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001192448
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 30, 2015 | C | 265,359 | — | A | 607,251 | I | Through the Burns Family Trust |
| Common StockF1 | Jun 30, 2015 | C | 100,000 | — | A | 100,000 | I | Through the Thomas W. Burns Irrevocable Trust |
| Common StockF1 | Jun 30, 2015 | C | 100,000 | — | A | 100,000 | I | Through the Janet M. Burns Irrevocable Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF1 | — | Jun 30, 2015 | C | 200,000 | D | — | — | Common Stock | 200,000 | 0 | I |
| Series B Convertible Preferred StockF1 | — | Jun 30, 2015 | C | 100,000 | D | — | — | Common Stock | 100,000 | 0 | I |
| Series B Convertible Preferred StockF1 | — | Jun 30, 2015 | C | 100,000 | D | — | — | Common Stock | 100,000 | 0 | I |
| Series D Convertible Preferred StockF1 | — | Jun 30, 2015 | C | 65,359 | D | — | — | Common Stock | 65,359 | 0 | I |
Explanation of responses
- F1The shares of Series B Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into shares of common stock on a 1:1 basis immediately prior to the consummation of the Issuer's initial public offering and had no expiration date.