SEC Form 4 · accession 0000950103-15-007595
Penumbra Inc · PEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lynn Rothman
Officer — EVP and Chief Business Officer
Period of report
Sep 23, 2015
Accepted (ET)
Sep 23, 2015 · 4:20 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,F2 | Sep 23, 2015 | C | 9,187 | — | A | 209,646 | D | |
| Common StockF1,F2 | Sep 23, 2015 | C | 5,917 | — | A | 215,563 | D | |
| Common StockF1,F2 | Sep 23, 2015 | C | 7,895 | — | A | 223,458 | D |
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)F3 | $22.04 | Aug 12, 2015 | A | 50,000 | A | — | Aug 11, 2025 | Common Stock | 50,000 | 50,000 | D |
| Series B Preferred StockF1 | — | Sep 23, 2015 | C | 9,187 | D | — | — | Common Stock | 9,187 | 0 | D |
| Series D Preferred StockF1 | — | Sep 23, 2015 | C | 5,917 | D | — | — | Common Stock | 5,917 | 0 | D |
| Series E Preferred StockF1 | — | Sep 23, 2015 | C | 7,895 | D | — | — | Common Stock | 7,895 | 0 | D |
Explanation of responses
- F1The Series B, Series D and Series E 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.
- F2A portion of these shares is subject to vesting.
- F3The option was granted prior to the date on which the Reporting Person became subject to Section 16. The original option grant vests over four years, with 25% of the shares vesting on August 1, 2016 and 1/48 vesting each month thereafter and was previously reported on Form 3.