SEC Form 4/A · accession 0001209191-15-000682
Inogen Inc · INGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owners
Ross A Jaffe M.D.
10% Owner
Samuel D Colella
10% Owner
Rebecca B Robertson
10% Owner
William J Link Ph.D.
10% Owner
Brian G Atwood
10% Owner
Donald B Milder
10% Owner
Versant Venture Capital II, LP
10% Owner
Versant Affiliates Fund II-A, LP
10% Owner
Versant Side Fund II, LP
10% Owner
Versant Ventures II LLC
10% Owner
Period of report
Dec 18, 2014
Accepted (ET)
Jan 5, 2015 · 2:35 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001294133
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Dec 18, 2014 | J | 9,235 | $0.00 | D | 31,334 | I | See Footnote |
| Common StockF4 | Dec 18, 2014 | J | 4,345 | $0.00 | D | 14,764 | I | See Footnote |
| Common StockF6 | Dec 18, 2014 | J | 486,420 | $0.00 | D | 2,041,988 | I | See Footnote |
| Common StockF8 | Dec 18, 2014 | J | 59,218 | $0.00 | A | 59,218 | I | See Footnote |
| Common StockF8 | Dec 18, 2014 | J | 1,126 | $0.00 | A | 60,344 | I | See Footnote |
| Common StockF8 | Dec 18, 2014 | J | 60,344 | $0.00 | D | 0 | I | See Footnote |
| Common StockF11 | Dec 18, 2014 | J | 7,950 | $0.00 | A | 35,843 | I | By Colella Family Partners and Colella Family Trust UTA Dated 9/21/92 |
| Common StockF11 | Dec 18, 2014 | J | 488 | $0.00 | A | 36,331 | I | By Collela Family Partners and Collela Family Trust UTA Dated 9/21/92 |
| Common StockF13 | Dec 18, 2014 | J | 7,942 | $0.00 | A | 38,051 | I | By Atwood Edminster Trust |
| Common StockF13 | Dec 18, 2014 | J | 244 | $0.00 | A | 38,295 | I | By Atwood Edminster Trust |
| Common StockF14 | Dec 18, 2014 | J | 7,944 | $0.00 | A | 38,248 | I | By The Jaffe Family Trust |
| Common StockF14 | Dec 18, 2014 | J | 305 | $0.00 | A | 38,553 | I | By The Jaffe Family Trust |
| Common StockF15 | Dec 18, 2014 | J | 7,944 | $0.00 | A | 38,248 | I | By The Link Family Trust |
| Common StockF15 | Dec 18, 2014 | J | 305 | $0.00 | A | 38,553 | I | By The Link Family Trust |
| Common StockF16 | Dec 18, 2014 | J | 1,986 | $0.00 | A | 11,263 | I | By Milder Community Property Trust |
| Common StockF16 | Dec 18, 2014 | J | 607 | $0.00 | A | 11,870 | I | By Milder Community Property Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Versant Affiliates Fund II-A, L.P. ("VAF II-A") without consideration to its partners.
- F10Represents a pro-rata in-kind distribution of Common Stock of the Issuer by VV II without consideration to its members.
- F11The shares are held by Colella Family Partners and Colella Family Trust UTA Dated 9/21/92 for the benefit of Samuel D. Colella. Samuel D. Colella is a general partner of Colella Family Partners and a trustee of Colella Family Trust UTA Dated 9/21/92. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his proportionate pecuniary interest therein.
- F12Represents a pro-rata in-kind distribution of Common Stock of the Issuer by VSF II without consideration to its partners.
- F13The shares are held by the Atwood-Edminster Trust dated 4/2/2000 (the "Trust") for the benefit of Brian G. Atwood. Brian G. Atwood is a trustee of the Trust. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his proportionate pecuniary interest therein.
- F14The shares are held by the The Jaffe Family Trust (the "Trust") for the benefit of Ross A. Jaffe. Ross A. Jaffe is a trustee of the Trust. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his proportionate pecuniary interest therein.
- F15The shares are held by the The Link Family Trust (the "Trust") for the benefit of William J. Link. William J. Link is a trustee of the Trust. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his proportionate pecuniary interest therein.
- F16The shares are held by the Milder Community Property Trust (the "Trust") for the benefit of Donald B. Milder. Donald B. Milder is a trustee of the Trust. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his proportionate pecuniary interest therein.
- F2The shares are held by VAF II-A. Versant Ventures II, LLC ("VV II") serves as the sole general partner of VAF II-A. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VV II and share voting and dispositive power over the shares held by VAF II-A, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares.
- F3Represents a pro-rata in-kind distribution of Common Stock of the Issuer by Versant Side Fund II, L.P. ("VSF II") without consideration to its partners.
- F4The shares are held by VSF II. VV II serves as the sole general partner of VSF II. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VV II and share voting and dispositive power over the shares held by VSF II, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares.
- F5Represents a pro-rata in-kind distribution of Common Stock of the Issuer by VVC II without consideration to its partners.
- F6The shares are held by VVC II. VV II serves as the sole general partner of VVC II. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VV II and share voting and dispositive power over the shares held by VVC II, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares.
- F7Represents a change in the form of ownership by virtue of the receipt of shares in the pro-rata in-kind distribution of Common Stock of the Issuer by VVC II.
- F8The shares are held by VV II. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VV II and share voting and dispositive power over the shares held by VV II, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares.
- F9Represents a change in the form of ownership by virtue of the receipt of shares in the pro-rata in-kind distribution of Common Stock of the Issuer by VAF II-A.
Remarks
Filing 1 of 2