SEC Form 4 · accession 0001548538-18-000007
Inspire Medical Systems, Inc. · INSP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Philip M Young
10% Owner
Steven M Krausz
10% Owner
Irwin Federman
10% Owner
David E Liddle
10% Owner
Jonathan D Root
10% Owner
U S Venture Partners IX L P
10% Owner
Paul A Matteucci
10% Owner
Presidio Management Group IX, L.L.C.
10% Owner
Period of report
Nov 8, 2018
Accepted (ET)
Nov 13, 2018 · 8:13 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001609550
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Nov 8, 2018 | J | 1,084,127 | — | D | 1,084,127 | I | Directly owned by USVP IX |
| Common StockF1 | Nov 8, 2018 | J | 216,825 | — | A | 216,825 | D | |
| Common StockF1 | Nov 8, 2018 | J | 216,825 | — | D | 0 | D | |
| Common StockF1,F2 | Nov 8, 2018 | J | 18,212 | — | A | 18,212 | I | Directly owned by Irwin Federman |
| Common StockF1,F2 | Nov 8, 2018 | J | 22,573 | — | A | 22,573 | I | Directly owned by Steven Krausz |
| Common StockF1,F2 | Nov 8, 2018 | J | 15,391 | — | A | 15,391 | I | Directly owned by David Liddle |
| Common StockF1,F2 | Nov 8, 2018 | J | 13,356 | — | A | 13,356 | I | Directly owned by Paul Matteucci |
| Common StockF1,F2 | Nov 8, 2018 | J | 18,982 | — | A | 18,982 | I | Directly owned by Jonathan Root |
| Common StockF1,F2 | Nov 8, 2018 | J | 18,212 | — | A | 18,212 | I | Directly owned by Philip Young |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents a pro-rata, in-kind distribution by U.S. Venture Partners IX, L.P. ("USVP IX"), without additional consideration, to its partners.
- F2This report is one of two reports each on a separate Form 4; however, these forms are related to the same transaction being filed by the reporting persons. The shares are held of record by USVP IX. Presidio Management Group IX, LLC ("PMG IX") is the general partner of USVP IX and may be deemed to have sole voting and dispositive power over the shares held by USVP IX. Casey Tansey, a director of the Issuer, and each of Irwin Federman, Steven M. Krausz, David E. Liddle, Paul A. Matteucci, Jonathan D. Root, and Philip M. Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein.