0001493152-20-019601.txt : 20201019
0001493152-20-019601.hdr.sgml : 20201019
20201019101815
ACCESSION NUMBER: 0001493152-20-019601
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201016
FILED AS OF DATE: 20201019
DATE AS OF CHANGE: 20201019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROUBIN GARY S
CENTRAL INDEX KEY: 0001162533
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35731
FILM NUMBER: 201245458
MAIL ADDRESS:
STREET 1: 4300 ROCKMORE RD JACKSON
CITY: WYOMING
STATE: WY
ZIP: 83001
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: InspireMD, Inc.
CENTRAL INDEX KEY: 0001433607
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 262123838
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4 MENORAT HAMAOR ST.
CITY: TEL AVIV
STATE: L3
ZIP: 6744832
BUSINESS PHONE: (888) 776-6804
MAIL ADDRESS:
STREET 1: 4 MENORAT HAMAOR ST.
CITY: TEL AVIV
STATE: L3
ZIP: 6744832
FORMER COMPANY:
FORMER CONFORMED NAME: Saguaro Resources, Inc.
DATE OF NAME CHANGE: 20080428
4
1
ownership.xml
X0306
4
2020-10-16
0
0001433607
InspireMD, Inc.
NSPR
0001162533
ROUBIN GARY S
C/O INSPIREMD, INC.
4 MENORAT HAMAOR ST.
TEL AVIV
L3
6744832
ISRAEL
1
0
0
0
Common Stock
2020-10-16
4
P
0
222223
0.45
A
461173
D
Warrants
0.495
2020-10-16
4
P
0
222223
0.45
A
2020-10-16
2025-10-16
Common Stock
222223
222223
D
Option to Purchase Common Stock
0.33
2030-10-12
Common Stock
79650
79650
D
The Reporting Person purchased, in a private placement transaction, 222,223 shares of common stock and 222,223 warrants to purchase common stock together, as part of 222,223 units, at a purchase price of $0.45 per unit.
238,950 of these shares of common stock represent shares of restricted stock, which vest and become exercisable in three equal annual installments, with 1/3 vesting on each of October 12, 2021, October 12, 2022 and October 12, 2023, subject to the Reporting Person's continued service.
No transaction has been effected by the Reporting Person with respect to these securities, and they are being included in this Form 4 for informational purposes only.
These options vest and become exercisable in three equal installments, with 1/3 vesting on each of October 12, 2021, October 12, 2022 and October 12, 2023, subject to the Reporting Person's continued service.
Exhibit 24.1: Power of Attorney (incorporated by reference to the Power of Attorney filed as Exhibit 24.1 to the Form 3 filed by the Reporting Person on October 16, 2020)
/s/ Craig Shore, Attorney-in-Fact for Gary S. Roubin
2020-10-19