SEC Form 4 · accession 0001193125-26-288993
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,F5 | May 11, 2026 | C | 38,875 | — | A | 38,875 | I | See Footnote |
| Common StockF1,F3,F5 | May 11, 2026 | C | 83,579 | — | A | 83,579 | I | See Footnote |
| Common StockF1,F4,F5 | May 11, 2026 | C | 138,233 | — | A | 138,233 | I | See Footnote |
| Common StockF1,F4,F5 | May 11, 2026 | C | 126,005 | — | A | 264,238 | I | See Footnote |
| Common StockF5,F6 | May 11, 2026 | P | 60,537 | $15.00 | A | 60,537 | 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 E-1 Preferred StockF1,F2,F5 | — | May 11, 2026 | C | 135,404 | D | — | — | Common Stock | 38,875 | 0 | I |
| Series E-1 Preferred StockF1,F3,F5 | — | May 11, 2026 | C | 291,108 | D | — | — | Common Stock | 83,579 | 0 | I |
| Series E-2 Preferred StockF1,F4,F5 | — | May 11, 2026 | C | 481,468 | D | — | — | Common Stock | 138,233 | 0 | I |
| Series F Preferred StockF1,F4,F5 | — | May 11, 2026 | C | 438,878 | D | — | — | Common Stock | 126,005 | 0 | I |
Explanation of responses
- F1Each share of Series F Preferred Stock, Series E-1 Preferred Stock and Series E-2 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 HTX MCT1 0320 Investment, LLC ("HTX MCT1").
- F3The securities are held by HTX MCT2 0221 Investment, LLC ("HTX MCT2").
- F4The securities are held by HTX MCT3 0322 Investment, LLC ("HTX MCT3").
- F5Green Park & Golf Ventures - Houston, LLC ("GPG Ventures Houston") is the managing member of each of HTX MCT1, HTX MCT2, HTX MCT3 and HTX MCT4 0226 Investment, LLC ("HTX MCT4"). Clay M. Heighten, MD, Carl D. Soderstrom and Gilbert G. Garcia II are managers of GPG Ventures Houston and share voting and dispositive power with respect to the shares held by each of HTX MCT1, HTX MCT2, HTX MCT3 and HTX MCT4, and as a result may be deemed to beneficially own such securities.
- F6The securities are held by HTX MCT4.
Remarks
This Form 4 is the fifth 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.