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