SEC Form 4 · accession 0001596771-17-000088
Nuwellis, Inc. · NUWE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John L Erb
Officer — CEO and President · Director
Period of report
Nov 22, 2017
Accepted (ET)
Nov 29, 2017 · 4:54 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001506492
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 F Convertible Preferred StockF2,F1 | $4.50 | Nov 22, 2017 | P | 100 | A | Nov 22, 2017 | — | Common Stock | 22,222 | 100 | D |
| Series 1 Warrant to Purchase Common Stock (right to buy)F2 | $4.50 | Nov 22, 2017 | P | 100 | A | Nov 22, 2017 | Nov 22, 2018 | Common Stock | 22,300 | 100 | D |
| Series 2 Warrant to Purchase Common Stock (right to buy)F2 | $4.50 | Nov 22, 2017 | P | 100 | A | Nov 22, 2017 | Nov 22, 2024 | Common Stock | 22,300 | 100 | D |
Explanation of responses
- F1The Series F Convertible Preferred Stock (the "Preferred Stock") has no expiration date.
- F2The reporting person purchased the Preferred Stock for $995.54 per share in an underwritten public offering that closed on November 27, 2017. For each share of Preferred Stock purchased, the reporting person also received one warrant to purchase 223 shares of common stock (the Series 1 warrant), and one warrant to purchase 223 shares of common stock (the Series 2 warrant). The Preferred Stock and warrants were issued separately.