SEC Form 4 · accession 0001140361-17-038915
Restoration Robotics, Inc. · HAIR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frederic H Moll
Director
Period of report
Oct 16, 2017
Accepted (ET)
Oct 17, 2017 · 6:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001409269
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 16, 2017 | C | 316,725 | — | A | 396,010 | D | |
| Common StockF1 | Oct 16, 2017 | C | 153,846 | — | A | 549,856 | D | |
| Common StockF1 | Oct 16, 2017 | C | 46,620 | — | A | 596,476 | 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 Preferred StockF1,F2 | — | Oct 16, 2017 | C | 316,725 | D | — | — | Common Stock | 316,725 | 0 | D |
| Series B Preferred StockF1,F2 | — | Oct 16, 2017 | C | 153,846 | D | — | — | Common Stock | 153,846 | 0 | D |
| Series C Preferred StockF1,F2 | — | Oct 16, 2017 | C | 46,620 | D | — | — | Common Stock | 46,620 | 0 | D |
Explanation of responses
- F1The shares of the Issuer's Preferred Stock automatically converted into shares of the Issuer's Common Stock, for no additional consideration, on a 1:1 basis immediately prior to the consummation of the Issuer's Initial Public Offering.
- F2The expiration date is not relevant to the conversion of these securities.