SEC Form 4 · accession 0001209191-15-025800
Intersect ENT, Inc. · XENT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dana G Mead Jr.
Director · 10% Owner
Period of report
Mar 10, 2015
Accepted (ET)
Mar 12, 2015 · 7:43 pm EDT
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 StockF2 | Mar 10, 2015 | J | 500,000 | $0.00 | D | 3,048,589 | I | See footnote |
| Common Stock | Mar 10, 2015 | J | 803 | $0.00 | A | 803 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares disposed of by way of distribution to the respective members of each of Kleiner Perkins Caufield & Byers XI-A, L.P. ("KPCB XI-A") and Kleiner Perkins Caufield & Byers XI-B, L.P. ("KPCB XI-B") pro rata and without consideration, in accordance with each such entity's operating agreement and to those individuals and entities associated with Kleiner Perkins Caufield & Byers for whom such shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee."
- F2Shares beneficially owned consist of (a) 2,673,537 shares held by KPCB XI-A, (b) 62,267 shares held by KPCB XI-B, and (c) 312,785 shares held by individuals and entities associated with Kleiner Perkins Caufield & Byers. All shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee," for the accounts of such individuals and entities who each exercise their own voting and dispositive power over such shares. The general partner of KPCB XI-A and KPCB XI-B is KPCB XI Associates, LLC. Brook H. Byers, L. John Doerr, Raymond J. Lane and Theodore E. Schlein, the managers of KPCB XI Associates, LLC, exercise shared voting and dispositive power over the shares directly held by KPCB XI-A and KPCB XI-B.
- F3Shares acquired by the Reporting Person in connection with the distribution of such shares to the members of KPCB XI-A described in footnote 1.