SEC Form 3/A · accession 0001493152-18-002409
Motus GI Holdings, Inc. · MOTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 3/A). It replaces an earlier filing for the same period.
Reporting owner
Period of report
Feb 13, 2018
Accepted (ET)
Feb 21, 2018 · 6:01 am 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 | — | — | — | 0 | I | By Orchestra MOTUS Co-Investment Partners, LLC |
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 | $0.00 | holding | — | — | — | — | — | Common Stock, par value $0.0001 per share | 0 | — | I |
| Warrant (right to buy)F3 | $5.00 | holding | — | — | — | — | — | Common Stock, par value $0.0001 per share | 0 | — | I |
Explanation of responses
- F1No securities beneficially owned. Reporting Person previously reported beneficial ownership of 1,094,930 securities held by Orchestra MOTUS Co-Investment Partners, LLC ("OMCP"); however, Reporting Person does not beneficially own any securities held by OMCP, and such beneficial ownership as originally reported by Reporting Person was done so due to an administrative error. This amended Form 3 is being filed to correct the administrative error and to reflect that Reporting Person does not have direct or indirect ownership of any securities held by OMCP. After giving effect to the closing of the initial public offering, Reporting Person will no longer be subject to Section 16.
- F2No securities beneficially owned. Reporting Person previously reported beneficial ownership of 65,038 shares of Series A Convertible Preferred Stock held by OMCP; however, Reporting Person does not beneficially own any securities held by OMCP and such beneficial ownership as originally reported by Reporting Person was done so due to administrative error. This amended Form 3 is being filed to correct the administrative error and to reflect that Reporting Person does not have direct or indirect ownership of any securities held by OMCP. After giving effect to the closing of the initial public offering, Reporting Person will no longer be subject to Section 16.
- F3No securities beneficially owned. Reporting Person previously reported beneficial ownership of 69,136 Warrants held by OMCP; however, Reporting Person does not beneficially own any securities held by OMCP and such beneficial ownership as originally reported by Reporting Person was done so due to administrative error. This amended Form 3 is being filed to correct the administrative error and to reflect that Reporting Person does not have direct or indirect ownership of any securities held by OMCP. After giving effect to the closing of the initial public offering, Reporting Person will no longer be subject to Section 16.