SEC Form 4 · accession 0001209191-15-023350
Intersect ENT, Inc. · XENT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Casper L. de Clercq
Director
Period of report
Mar 3, 2015
Accepted (ET)
Mar 6, 2015 · 1:08 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001271214
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Mar 3, 2015 | J | 299,867 | $0.00 | D | 824,625 | I | See Footnote |
| Common StockF3,F4 | Mar 3, 2015 | J | 299,936 | $0.00 | D | 824,556 | I | (See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares were disposed via a pro rata in-kind distribution of Issuer's stock from Norwest Venture Partners XI, L.P. ("NVP XI") to its limited and general partners.
- F2The NVP XI distribution resulted in a change in the form of beneficial ownership so that following the distribution 133 shares were held by Genesis VC Partners XI, LLC ("Genesis XI"), and the remaining 824,492 shares are held of record by NVP XI. Genesis XI is the general partner of NVP XI and may be deemed to have sole voting and dispositive power over the shares held by NVP XI. The Reporting Person is a member of Genesis XI. The Reporting Person disclaims beneficial ownership of all such securities, except to the extent of any pecuniary interest therein.
- F3Shares were disposed via a pro rata in-kind distribution of Issuer's stock from Norwest Venture Partners XII, LP ("NVP XII") to its limited and general partners.
- F4The NVP XII distribution resulted in a change in the form of beneficial ownership so that following the distribution 64 shares were held by Genesis VC Partners XII, LLC ("Genesis XII"), and the remaining 824,492 shares are held of record by NVP XII. Genesis XII is the general partner of NVP XII and may be deemed to have sole voting and dispositive power over the shares held by NVP XII. The Reporting Person is a member of Genesis XII. The Reporting Person disclaims beneficial ownership of all such securities, except to the extent of any pecuniary interest therein.