SEC Form 4 · accession 0000899243-16-032260
iRhythm Holdings, Inc. · IRTC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
SYNERGY LIFE SCIENCE PARTNERS L P
10% Owner
Richard S. Stack
10% Owner
Mudit K. Jain
10% Owner
Synergy Venture Partners, LLC
10% Owner
Period of report
Oct 25, 2016
Accepted (ET)
Oct 25, 2016 · 1:41 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001388658
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3,F4,F5,F6,F7 | Oct 25, 2016 | C | 2,384,524 | — | A | 2,384,524 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF7,F1,F6 | — | Oct 25, 2016 | C | 264,419 | D | — | — | Common Stock | 264,419 | 0 | D |
| Series A Convertible Preferred StockF7,F1,F6 | — | Oct 25, 2016 | C | 837,328 | D | — | — | Common Stock | 837,328 | 0 | D |
| Series A Convertible Preferred StockF7,F1,F6 | — | Oct 25, 2016 | C | 528,838 | D | — | — | Common Stock | 528,838 | 0 | D |
| Series B Convertible Preferred StockF7,F2,F6 | — | Oct 25, 2016 | C | 67,768 | D | — | — | Common Stock | 135,833 | 0 | D |
| Series C Convertible Preferred StockF7,F3,F6 | — | Oct 25, 2016 | C | 38,358 | D | — | — | Common Stock | 86,184 | 0 | D |
| Series C Convertible Preferred StockF7,F3,F6 | — | Oct 25, 2016 | C | 81,174 | D | — | — | Common Stock | 182,387 | 0 | D |
| Series D Convertible Preferred StockF7,F4,F6 | — | Oct 25, 2016 | C | 179,011 | D | — | — | Common Stock | 179,011 | 0 | D |
| Series E Convertible Preferred StockF7,F5,F6 | — | Oct 25, 2016 | C | 114,018 | D | — | — | Common Stock | 114,018 | 0 | D |
| Series E Convertible Preferred StockF7,F5,F6 | — | Oct 25, 2016 | C | 56,506 | D | — | — | Common Stock | 56,506 | 0 | D |
| Series D Preferred Stock Warrant (Right to Buy)F7,F6 | $0.001 | Oct 25, 2016 | C | 49,581 | D | Nov 1, 2012 | Nov 1, 2019 | Common Stock | 49,581 | 0 | D |
Explanation of responses
- F1The Series A Convertible Preferred Stock converted into Common Stock on a 1-for-1 basis and had no expiration date.
- F2The Series B Convertible Preferred Stock converted into Common Stock on a 2.00438849-for-1 basis and had no expiration date.
- F3The Series C Convertible Preferred Stock converted into Common Stock on a 2.24685484-for-1 basis and had no expiration date.
- F4The Series D Convertible Preferred Stock converted into Common Stock on a 1-for-1 basis and had no expiration date.
- F5The Series E Convertible Preferred Stock converted into Common Stock on a 1-for-1 basis and had no expiration date.
- F6Reflects 5.882698 for 1 reverse stock split which became effective on October 5, 2016.
- F7Synergy Venture Partners, LLC ("SVP LLC") serves as the sole General Partner of Synergy Life Science Partners, LP ("Synergy"). As such, SVP LLC possesses sole voting and investment control over the securities owned by Synergy, and may be deemed to have indirect beneficial ownership of the securities held by Synergy. SVP LLC, however, owns no securities of the Issuer directly. Messrs. Stack, Jain and Starling are Managers of SVP LLC and share voting and dispositive power over the shares held by Synergy. Each Reporting Person disclaims beneficial ownership of the shares held by Synergy except to the extent of his or its proportionate pecuniary interest therein.
Remarks
Exhibit List Exhibit 99