SEC Form 4 · accession 0000950103-15-007589
Penumbra Inc · PEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Arani Bose
Officer — Chief Innovator · Director
Period of report
Sep 23, 2015
Accepted (ET)
Sep 23, 2015 · 4:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001321732
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 23, 2015 | M | 300,000 | $0.57 | A | 800,673 | D | |
| Common StockF1,F2 | Jun 23, 2015 | F | 68,482 | $14.46 | D | 732,191 | D | |
| Common StockF3 | Sep 23, 2015 | C | 13,471 | — | A | 745,662 | D | |
| Common StockF4 | holding | — | — | — | 250,000 | I | By Trust | |
| Common StockF5 | holding | — | — | — | 250,000 | I | By Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1,F6 | $0.57 | Jun 23, 2015 | M | 300,000 | D | — | Mar 31, 2016 | Common Stock | 300,000 | 0 | D |
| Series B Preferred StockF3 | — | Sep 23, 2015 | C | 13,471 | D | — | — | Common Stock | 13,471 | 0 | D |
Explanation of responses
- F1These transactions occurred prior to the date on which the Reporting Person became subject to Section 16 and were reflected on the Reporting Person's Form 3.
- F2Payment of exercise price and tax liability by delivering or withholding shares in accordance with Rule 16b-3.
- F3The Series B Preferred Stock automatically converted into Common Stock on a 1:1 basis upon closing of the Issuer's initial public offering of Common Stock and had no expiration date.
- F4Shares are held by the Arani Bose 2009 Family Trust.
- F5Shares are held by the Shumita Bose 2009 Family Trust.
- F6All shares are fully vested.