SEC Form 4 · accession 0001209191-15-081511
Inogen Inc · INGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Scott Greer
Director
Period of report
Nov 18, 2015
Accepted (ET)
Nov 20, 2015 · 4:06 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 StockF1 | Nov 18, 2015 | X | 15,218 | $0.30 | A | 15,218 | I | See Footnote |
| Common StockF2 | holding | — | — | — | 14,485 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 1,188 | D | Jun 15, 2007 | Jun 15, 2017 | Common Stock | 1,188 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 9,280 | D | Oct 5, 2007 | Oct 5, 2017 | Common Stock | 9,280 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 1,783 | D | May 29, 2007 | May 29, 2017 | Common Stock | 1,783 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy) | $0.30 | Nov 18, 2015 | X | 688 | D | Apr 20, 2017 | Apr 20, 2017 | Common Stock | 688 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 496 | D | Jul 17, 2007 | Jul 17, 2017 | Common Stock | 496 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 1,517 | D | Apr 20, 2007 | Apr 20, 2017 | Common Stock | 1,517 | 0 | I |
| Warrant to Purchase Common Stock (Right to Buy)F3 | $0.30 | Nov 18, 2015 | X | 266 | D | Apr 20, 2007 | Apr 20, 2017 | Common Stock | 266 | 0 | I |
Explanation of responses
- F1Shares held directly by Numenor Ventures, L.L.C. The reporting person and his wife are the managing members of Numenor Ventures, L.L.C.
- F2Shares held directly by the R. Scott Greer and Michelle Greer Revocable Trust, a trust for the benefit of the Reporting Person and the Reporting Person's spouse, for which the Reporting Person and the Reporting Pearson's spouse serve as trustees.
- F3This warrant is held by Numenor Ventures, L.L.C. The reporting person and his wife are the managing members of Numenor Ventures, L.L.C.