SEC Form 5 · accession 0001371285-18-000017
TRUPANION, INC. · TRUP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dan Levitan
Director · 10% Owner
Period of report
Dec 31, 2017
Accepted (ET)
Feb 14, 2018 · 6:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001371285
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | May 5, 2017 | J | 3 | $0.00 | A | 79,677 | D | |
| Common StockF4,F5 | May 5, 2017 | J | 1 | $0.00 | A | 3,722 | I | By Maveron LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares acquired by the reporting person in connection with the distribution of such shares to the partners of Maveron General Partner III LLC ("Maveron GP").
- F2Represents a correction to the number of shares originally distributed to reporting person on May 5, 2017. The original Form 4 filing inadvertently omitted 3 additional shares that were distributed to the reporting person.
- F3Shares acquired by Maveron LLC in connection with the distribution of such shares to the partners of Maveron GP.
- F4Represents a correction to the number of shares originally distributed to Maveron LLC on May 5, 2017. The original Form 4 filing inadvertently omitted 1 additional share that was distributed to Maveron LLC.
- F5Shares are owned directly by Maveron LLC. The reporting person is a member of Maveron LLC, and may be deemed to share voting and investment power over the securities held by Maveron LLC. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Remarks
Each reporting person disclaims the existence of a "group" and disclaims beneficial ownership of any securities except to the extent of such reporting persons' pecuniary interest in such securities.