SEC Form 3 · accession 0001493152-18-001990
Motus GI Holdings, Inc. · MOTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Period of report
Feb 13, 2018
Accepted (ET)
Feb 13, 2018 · 7:11 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001686850
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.0001 per shareF1 | holding | — | — | — | 1,094,930 | 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 Convertible Preferred StockF2,F1 | $0.00 | holding | — | — | — | — | — | Common Stock, par value $0.0001 per share | 65,038 | — | D |
| Warrant (right to buy)F1 | $5.00 | holding | — | — | — | Dec 22, 2016 | Dec 22, 2021 | Common Stock, par value $0.0001 per share | 69,136 | — | D |
Explanation of responses
- F1After giving effect to the closing of the initial public offering, Reporting Person will no longer be subject to Section 16.
- F2Each share of Series A Convertible Preferred Stock is immediately convertible, at the option of the Reporting Person, into one share of common stock, par value $0.0001 per share (the "Common Stock"), of Motus GI Holdings, Inc. ("Motus"), and shall convert into Common Stock upon the occurrence of certain events. Please see the Motus Registration Statement filed with the Securities and Exchange Commission on Form S-1 (File No. 333-222441) for a complete description of the conversion rights.
Remarks
Exhibit 24 - Power of Attorney