SEC Form 4 · accession 0001104659-15-050338

Conformis Inc · CFMS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Jul 7, 2015

Accepted (ET)

Jul 8, 2015 · 7:00 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001305773

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Jul 7, 2015	C	937,500	—	A	937,500	I	See footnote.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series E-1 Preferred Stock^F2,F1	—	Jul 7, 2015	C	656,250	D	—	—	Common Stock	328,125	0	I
Series E-2 Preferred Stock^F2,F1	—	Jul 7, 2015	C	1,218,750	D	—	—	Common Stock	609,375	0	I

F1The Series E-1 and E-2 Preferred Stock converted into Common Stock on a two-for-one basis upon the closing of the Issuer's initial public offering without the payment of consideration. The Series E-1 and E-2 Preferred Stock were convertible at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering, and had no expiration date.
F2The securities are directly held by NewtrAx LLC, which is indirectly controlled by Lexa International Corporation. The Reporting Person is affiliated with NewtrAx LLC and disclaims beneficial ownership of all shares except to the extent of his pecuniary interest therein.