SEC Form 4 · accession 0001615774-16-006300
InspireMD, Inc. · NSPR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sol J Barer
Director
Period of report
Jul 7, 2016
Accepted (ET)
Jul 11, 2016 · 3:12 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001433607
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B Convertible Preferred StockF2,F1 | $0.33 | Jul 7, 2016 | P | 33,333 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 5,833,275 | 33,333 | D |
| Warrants to Purchase Common StockF2 | $0.20 | Jul 7, 2016 | P | 3,333,300 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 3,333,300 | 3,333,300 | D |
Explanation of responses
- F1Consists of 3,333,300 shares of Common Stock issuable upon conversion of the Preferred Stock at the conversion price of $0.33 per share and the stated value of $33 and payment of all dividends accrued on the Preferred Stock in an aggregate of 2,499,975 shares of Common Stock upon conversion of the Preferred Stock.
- F2Each share of Preferred Stock was accompanied by a Warrant to purchase 100 shares of Common Stock at an exercise price of $0.20 per share of Common Stock. Each share of Preferred Stock and accompanying Warrant to purchase Common Stock was acquired at an aggregate price of $33.00.