SEC Form 4 · accession 0001094891-18-000021
PAVmed Inc. · PAVM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian J. DeGuzman
Officer — Chief Medical Officer
Period of report
Dec 21, 2017
Accepted (ET)
Jan 3, 2018 · 5:36 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001624326
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 21, 2017 | J | 645,346 | $0.00 | A | 645,346 | I | By trust |
| Common Stock | Dec 21, 2017 | J | 645,346 | $0.00 | D | 0 | I | By trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Pro rata distribution from HCFP/Capital Partners III LLC, of which the trust is a non-managing member.
- F2Contribution to Pavilion Venture Partners LLC, of which the trust is a non-managing member.