SEC Form 4/A · accession 0001104659-15-052627

SteadyMed Ltd. · STDY

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Ron Ginor

Director

Period of report

Mar 25, 2015

Accepted (ET)

Jul 22, 2015 · 5:34 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 Shares^F1,F2	Mar 25, 2015	C	1,034,102	—	A	1,034,102	I	See Footnote
Ordinary Shares^F2	Mar 25, 2015	A	41,000	$8.50	A	1,075,102	I	See Footnote
Ordinary Shares^F1,F3	Mar 25, 2015	C	16,298	—	A	16,298	I	See Footnote
Ordinary Shares^F1,F4	Mar 25, 2015	C	94,643	—	A	94,643	I	See Footnote
Ordinary Shares^F4	Mar 25, 2015	J	10,663	$0.01	A	105,306	I	See Footnote

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Series A-2 Convertible Preferred Shares^F2,F1,F6	—	Mar 25, 2015	C	198,393	D	—	—	Ordinary Shares	198,393	I
Series B Convertible Preferred Shares^F2,F1,F6	—	Mar 25, 2015	C	286,944	D	—	—	Ordinary Shares	286,944	I
Series D Convertible Preferred Shares^F2,F1,F6	—	Mar 25, 2015	C	151,791	D	—	—	Ordinary Shares	151,791	I
Series E Convertible Preferred Shares^F2,F1,F6	—	Mar 25, 2015	C	396,974	D	—	—	Ordinary Shares	396,974	I
Series D Convertible Preferred Shares^F3,F1,F6	—	Mar 25, 2015	C	16,298	D	—	—	Ordinary Shares	16,298	I
Series E Convertible Preferred Shares^F4,F1,F6	—	Mar 25, 2015	C	94,643	D	—	—	Ordinary Shares	94,643	I
Warrant to Purchase Series E Preferred Shares^F4,F5	$0.01	Mar 25, 2015	J	10,664	D	—	Feb 17, 2021	Ordinary Shares	10,664	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).
F2By Samson Venture Partners I, LLC. Samson Venture Partners, LLC is the Manager and the Reporting Person is a Co-Manager of Samson Venture Partners, LLC.
F3By Randsburg Capital, LLC. Reporting Person is a Co-Manager of Randsburg Capital, LLC.
F4By Iron Capital I, LLC. Iron Capital, LLC is the Manager and the Reporting Person is the Sole Manager of Iron Capital, LLC.
F5The Reporting Person exercised this warrant on a cashless basis, resulting in the Issuer withholding 1 share subject to the warrant to pay for the exercise price. Upon exercise the Reporting Person acquired 10,663 shares.
F6The shares do not have an expiration date.

Remarks

This Form 4/A amends the Form 4 filed by the Reporting Person on March 25, 2015 to include the securities held by and transactions with respect to Iron Capital I, LLC and Randsburg Capital, LLC.