SEC Form 4 · accession 0000950142-15-002572
Zeltiq Aesthetics Inc · ZLTQ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew N Schiff
Director
Period of report
Dec 7, 2015
Accepted (ET)
Dec 9, 2015 · 4:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001415336
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 7, 2015 | X | 5,400 | $0.00 | A | 12,338 | D | |
| Common Stock | Dec 7, 2015 | X | 2,082 | $0.00 | A | 14,420 | D | |
| Common StockF2 | Dec 7, 2015 | S | 7,482 | $30.0119 | D | 6,938 | D | |
| Common Stock | Dec 8, 2015 | X | 24,600 | $0.00 | A | 31,538 | D | |
| Common Stock | Dec 8, 2015 | X | 700 | $0.00 | A | 32,238 | D | |
| Common StockF3,F4 | Dec 8, 2015 | S | 25,300 | $30.1677 | D | 6,938 | D | |
| Common StockF5 | holding | — | — | — | 2,097,742 | I | By Aisling Capital III, L.P. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F7,F6 | $17.48 | Dec 7, 2015 | X | 5,400 | D | May 30, 2014 | May 29, 2024 | Common Stock | 5,400 | 24,600 | D |
| Stock Options (Right to Buy)F7,F6,F8 | $5.06 | Dec 7, 2015 | X | 2,082 | D | Jun 14, 2013 | Jun 14, 2022 | Common Stock | 2,082 | 700 | D |
| Stock Options (Right to Buy)F7,F6 | $17.48 | Dec 8, 2015 | X | 24,600 | D | May 30, 2014 | May 29, 2024 | Common Stock | 24,600 | 0 | D |
| Stock Options (Right to Buy)F7,F6,F8 | $5.06 | Dec 8, 2015 | X | 700 | D | Jun 14, 2013 | Jun 14, 2022 | Common Stock | 700 | 1,589 | D |
Explanation of responses
- F1These shares were sold by our broker pursuant to instructions given to our broker by the reporting person on November 2, 2015, pursuant to a Rule 10b5-1 trading plan.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $30.00 to $30.07, inclusive.
- F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $30.00 to $30.39, inclusive. The reporting person undertakes to provide to Zeltiq Aesthetics, Inc., any security holder of Zeltiq Aesthetics, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) and (3) to this Form 4.
- F4Consists of 3,495 shares of common stock, par value $0.001 per share ("Common Stock") and 3,443 restricted stock units, issued pursuant to the 2011 Equity Incentive Plan of the Issuer. Each restricted stock unit represents a contingent right to receive one share of Common Stock. The restricted stock units vest in 12 ratable monthly installments from the date of grant, subject to Mr. Schiff's continued service with the Issuer. As previously reported, on June 17, 2015, Mr. Schiff was granted 4,996 such restricted stock units, of which 2,081 have vested to date. Also as previously reported, on July 22, 2015, Mr. Schiff was granted an additional 790 such restricted stock units, of which 262 have vested to date. Includes 87 shares of Common Stock held by a trust for the benefit of Mr. Schiff's children.
- F5The shares are directly held by Aisling Capital III, LP ("Aisling") and are indirectly held by Aisling Capital Partners III, LP ("Aisling GP"), as general partner of Aisling, Aisling Capital Partners III, LLC ("Aisling Partners"), as general partner of Aisling GP, and each of the individual managing members of Aisling Partners. The individual managing members (collectively, the "Managers") of Aisling Partners are Dennis Purcell, Dr. Andrew Schiff and Steve Elms. Aisling GP, Aisling Partners, and the Managers share voting and dispositive power over the shares directly held by Aisling. Dr. Andrew Schiff is a member of the Board of Directors of Zeltiq Aesthetics, Inc.
- F6These stock options are held by Mr. Schiff for the benefit of Aisling Capital LLC. Mr. Schiff disclaims beneficial ownership of these securities and this report is not an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein.
- F7Issued pursuant to the 2011 Equity Incentive Plan of the Issuer.
- F8As of the date of this report, 8,145 shares subject to the option have vested and the remainder will vest in 7 ratable monthly installments hereafter, subject to the Reporting Person's continued service with the Issuer.
- F9These stock options were exercised by our broker, pursuant to instructions given to our broker by the reporting person on November 2, 2015, pursuant to a Rule 10b5-1 trading plan.