SEC Form 4 · accession 0001193125-26-288984
Mobia Medical, Inc. · MOBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | May 11, 2026 | C | 71,202 | — | A | 71,202 | I | See Footnote |
| Common StockF3,F4 | May 11, 2026 | P | 81,000 | $15.00 | A | 81,000 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C Preferred StockF1,F2,F3 | — | May 11, 2026 | C | 248,000 | D | — | — | Common Stock | 71,202 | 0 | I |
Explanation of responses
- F1Each share of Series C Preferred Stock converted into Common Stock immediately prior to the completion of the Issuer's initial public offering pursuant to its terms.
- F2The securities are held by MTI 2015 Investment, LLC ("MTI 2015").
- F3Green Park & Golf Ventures II, LLC ("GPG Ventures II") is the managing member of each of MTI 2015 and GPG MOBI, LLC ("MOBI"). Clay M. Heighten, MD, Carl D. Soderstrom and Gilbert G. Garcia II are managers of GPG Ventures II and share voting and dispositive power with respect to the shares held by each of MTI 2015 and MOBI, and as a result may be deemed to beneficially own such securities.
- F4The securities are held by MOBI.
Remarks
This Form 4 is the fourth of five Forms 4 filed relating to the same event. Combined, the five Forms 4 report the holdings for the following reporting persons: Green Park & Golf Ventures II, LLC, Clay M. Heighten, MD, Carl D. Soderstrom, Gilbert G. Garcia II, GPG BFH, LLC, GPG Charles & Potomac, LLC, GPG Dais, LLC, GPG GR, LLC, GPG Healthcare Opportunities Fund II, LLC, GPG Healthcare Opportunities Fund, LLC, GPG JCT, LLC, GPG MTI 22, LLC, GPG MTI 25, LLC, GPG MOBI, LLC, GPG MTI 3-17 Investment, LLC, GPG PHL, LLC, GPG RM Investment, LLC, GPG SC, LLC, GPG WG, LLC, GPG MTIF, LLC, Micro TI Investment 2, LLC, Micro TI Investment, LLC, MTI 20 Investment, LLC, MTI 2015 Investment, LLC, HTX MCT1 0320 Investment, LLC, HTX MCT2 0221 Investment, LLC, HTX MCT3 0322 Investment, LLC, HTX MCT4 0226 Investment, LLC and Green Park & Golf Ventures - Houston, LLC. The Form 4 has been split into five filings because there are more than 10 reporting persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 reporting persons.