SEC Form 4 · accession 0001225208-17-016390

Restoration Robotics, Inc. · HAIR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

10% Owner

Period of report

Oct 16, 2017

Accepted (ET)

Oct 18, 2017 · 2:59 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
Common Stock^F1	Oct 16, 2017	C	888,690	$0.00	A	888,690	D
Common Stock^F1	Oct 16, 2017	C	606,386	$0.00	A	1,495,076	D
Common Stock^F1	Oct 16, 2017	C	479,145	$0.00	A	1,974,221	D
Common Stock	Oct 16, 2017	C	105,369	$7.00	A	2,079,590	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Convertible Promissory Note^F2,F3	$7.00	Oct 16, 2017	C	105,369	D	—	—	Common Stock	105,369	D
Series A Preferred Stock^F1	—	Oct 16, 2017	C	479,145	D	—	—	Common Stock	479,145	D
Series B Preferred Stock^F1	—	Oct 16, 2017	C	606,386	D	—	—	Common Stock	606,386	D
Series C Preferred Stock^F1	—	Oct 16, 2017	C	888,690	D	—	—	Common Stock	888,690	D

F1The issuer's preferred stock will automatically convert into issuer's common stock on a one-to-one basis immediately prior to the closing of the issuer's initial public offering and has no expiration date.
F2This reported amount represents the number of shares issuable upon the conversion of the principal and accrued interest of the convertible promissory note held by the reporting person.
F3The outstanding principal and accrued interest of the reporting person's convertible promissory note automatically converted into shares of the issuer's common stock at the price per share available to the public as set forth in the final prospectus related to the initial public offering upon closing of the initial public offering.