SEC Form 4 · accession 0001104659-15-022746
SteadyMed Ltd. · STDY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bank Keith
Director · 10% Owner
Period of report
Mar 25, 2015
Accepted (ET)
Mar 25, 2015 · 7:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001619087
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Ordinary SharesF1,F4 | Mar 25, 2015 | C | 2,088,258 | — | A | 2,088,258 | I | See Footnote |
| Ordinary SharesF1,F5 | Mar 25, 2015 | C | 181,025 | — | A | 181,025 | I | See Footnote |
| Ordinary Shares | Mar 25, 2015 | A | 25,000 | $8.50 | A | 25,000 | I | By The Barbara Bank Irrevocable Trust |
| Ordinary Shares | holding | — | — | — | 29,830 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A-2 Convertible Preferred SharesF4,F1,F2 | — | Mar 25, 2015 | C | 132,262 | D | — | — | Ordinary Shares | 132,262 | 0 | I |
| Series B Convertible Preferred SharesF4,F1,F2 | — | Mar 25, 2015 | C | 280,674 | D | — | — | Ordinary Shares | 280,674 | 0 | I |
| Series D Convertible Preferred SharesF4,F1,F2 | — | Mar 25, 2015 | C | 685,222 | D | — | — | Ordinary Shares | 685,222 | 0 | I |
| Series E Convertible Preferred SharesF4,F1,F2 | — | Mar 25, 2015 | C | 990,100 | D | — | — | Ordinary Shares | 990,100 | 0 | I |
| Series E Convertible Preferred SharesF5,F3,F2 | — | Mar 25, 2015 | C | 181,025 | D | — | — | Ordinary Shares | 181,025 | 0 | I |
Explanation of responses
- F1Such preferred shares converted into that number of Issuer's ordinary shares disclosed above at the closing of a Qualified IPO (as defined in the Issuer's Ninth Amended and Restated Articles of Association dated March 1, 2015).
- F2The shares do not have an expiration date.
- F3Such preferred shares converted into that number of Issuer's ordinary shares disclosed above at the closing of a Qualified IPO (as defined in the Issuer's Ninth Amended and Restated Articles of Association dated March 1, 2015).
- F4By SteadyMed Investors, LLC. KB Partners, LLC is the Managing Member and the Reporting Person is the Managing Member of KB Partners, LLC.
- F5By SteadyMed Investors II, LLC. The Reporting Person is a Managing Member of SteadyMed Investors II, LLC.