SEC Form 4 · accession 0001615774-16-006302
InspireMD, Inc. · NSPR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Stuka
Director
Period of report
Jul 7, 2016
Accepted (ET)
Jul 11, 2016 · 3:15 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 | 3,030 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 530,250 | 3,030 | D |
| Warrants to Purchase Common StockF2 | $0.20 | Jul 7, 2016 | P | 303,000 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 303,000 | 303,000 | D |
| Series B Convertible Preferred StockF2,F4,F3 | $0.33 | Jul 7, 2016 | P | 1,515 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 265,125 | 1,515 | I |
| Warrants to Purchase Common StockF2,F4 | $0.20 | Jul 7, 2016 | P | 151,500 | A | Jul 7, 2016 | Jul 7, 2021 | Common Stock | 151,500 | 151,500 | I |
Explanation of responses
- F1Consists of 303,000 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 227,250 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.
- F3Consists of 151,500 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 113,625 shares of Common Stock upon conversion of the Preferred Stock.
- F4These securities are held by Osiris Investment Partners, L.P. ("Osiris"). The Reporting Person serves as the managing member of Osiris Partners, LLC, the general partner of Osiris. In such capacity, the Reporting Person may be deemed to beneficially own the reported securities. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other purposes.