0001209191-12-041325.txt : 20120810
0001209191-12-041325.hdr.sgml : 20120810
20120810171521
ACCESSION NUMBER: 0001209191-12-041325
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20120808
FILED AS OF DATE: 20120810
DATE AS OF CHANGE: 20120810
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STEINMETZ MICHAEL
CENTRAL INDEX KEY: 0001166285
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025300
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HENNER DENNIS
CENTRAL INDEX KEY: 0001249153
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025303
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GALAKATOS NICHOLAS
CENTRAL INDEX KEY: 0001252522
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025304
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LIPTAK ROBERT
CENTRAL INDEX KEY: 0001252523
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025302
MAIL ADDRESS:
STREET 1: THE JOHN HANCOCK TOWER
STREET 2: 200 CLARENDON STREET, 54TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHEELER KURT
CENTRAL INDEX KEY: 0001252525
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025299
MAIL ADDRESS:
STREET 1: 801 GATEWAY BLVD
STREET 2: STE 410
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94080
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simon Nicholas
CENTRAL INDEX KEY: 0001431403
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025301
MAIL ADDRESS:
STREET 1: 531 PARROTT DRIVE
CITY: SAN MATEO
STATE: CA
ZIP: 94402
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GLOBUS MEDICAL INC
CENTRAL INDEX KEY: 0001237831
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 043744954
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2560 GENERAL ARMISTEAD AVENUE
CITY: AUDUBON
STATE: PA
ZIP: 19403
BUSINESS PHONE: 610-930-1800
MAIL ADDRESS:
STREET 1: 2560 GENERAL ARMISTEAD AVENUE
CITY: AUDUBON
STATE: PA
ZIP: 19403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clarus Ventures I, LLC
CENTRAL INDEX KEY: 0001431441
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025305
BUSINESS ADDRESS:
STREET 1: 101 MAIN STREET
STREET 2: SUITE 1210
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 617-949-2200
MAIL ADDRESS:
STREET 1: 101 MAIN STREET
STREET 2: SUITE 1210
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clarus Lifesciences I, L.P.
CENTRAL INDEX KEY: 0001431445
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025307
BUSINESS ADDRESS:
STREET 1: 101 MAIN STREET
STREET 2: SUITE 1210
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 617-949-2200
MAIL ADDRESS:
STREET 1: 101 MAIN STREET
STREET 2: SUITE 1210
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clarus Ventures I Management, L.P.
CENTRAL INDEX KEY: 0001505590
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 121025306
BUSINESS ADDRESS:
STREET 1: C/O CLARUS VENTURES
STREET 2: 101 MAIN STREET, 12TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 617-949-2200
MAIL ADDRESS:
STREET 1: C/O CLARUS VENTURES
STREET 2: 101 MAIN STREET, 12TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-08-08
0
0001237831
GLOBUS MEDICAL INC
GMED
0001431445
Clarus Lifesciences I, L.P.
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
1
0
0001505590
Clarus Ventures I Management, L.P.
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
General Partner
0001431441
Clarus Ventures I, LLC
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
GP Clarus Ventures I Mngmt.
0001252522
GALAKATOS NICHOLAS
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
0001249153
HENNER DENNIS
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
0001252523
LIPTAK ROBERT
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
0001431403
Simon Nicholas
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
0001166285
STEINMETZ MICHAEL
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
0001252525
WHEELER KURT
C/O CLARUS VENTURES, LLC
101 MAIN STREET, SUITE 1210
CAMBRIDGE
MA
02142
0
0
0
1
Managing dir. of GP
Class A Common Stock
2012-08-08
4
C
0
7444168
0.00
A
8048433
I
By Fund
Class A Common Stock
2012-08-08
4
S
0
804232
11.16
D
7244201
I
By Fund
Series E Preferred Stock
2012-08-08
4
C
0
7444168
0.00
D
Class A Common Stock
7444168
0
I
By Fund
The Company's Series E Preferred Stock automatically converted into the Company's Class A Common Stock on a one-for-one basis upon the closing of the Company's initial public offering and had no expiration date.
Clarus Ventures I Management, L.P. ("Clarus I Management") as the sole general partner of Clarus Lifesciences I, L.P. (the "Fund") and Clarus Ventures I, LLC ("Clarus I GPLLC") as the sole general partner of Clarus I Management, may be deemed to beneficially own certain of the shares held of record by the Fund. Clarus I Management disclaims beneficial ownership of all shares held of record by the Fund in which Clarus I Management does not have an actual pecuniary interest. Each of Messrs. Galakatos, Henner, Liptak, Simon, Steinmetz and Wheeler, as individual Managing Directors of Clarus I GPLLC, may be deemed to beneficially own certain of the shares held of record by the Fund. Each of Clarus I GPLLC and Messrs. Galakatos, Henner, Liptak, Simon, Steinmetz and Wheeler disclaims beneficial ownership of all shares held of record by the Fund in which he does not have an actual pecuniary interest.
/s/ Robert Liptak, Managing director of Clarus Ventures I, LLC, general partner of Clarus Ventures I Management, L.P., general partner of Clarus Lifesciences I, L.P.
2012-08-10
Robert Liptak, Managing director of Clarus Ventures I, LLC, general partner of Clarus Ventures I Management, L.P.
2012-08-10
Robert Liptak, Managing director of Clarus Ventures I, LLC
2012-08-10
Robert Liptak, as attorney-in-fact for Nicholas Galakatos
2012-08-10
Robert Liptak, as attorney-in-fact for Dennis Henner
2012-08-10
Robert Liptak
2012-08-10
Robert Liptak, as attorney-in-fact for Nicholas Simon
2012-08-10
Robert Liptak, as attorney-in-fact for Michael Steinmetz
2012-08-10
Robert Liptak, as attorney-in-fact for Kurt Wheeler
2012-08-10
EX-24.4_434829
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that each person whose signature appears below
hereby
constitutes and appoints Robert Liptak with full power to act singly, his true
and lawful
attorney-in-fact, with full power of substitution, to: (i) sign any and all
instruments,
certificates and documents that may be necessary, desirable or appropriate to be
executed on
behalf of himself as an individual or in his capacity as a general partner of
any
partnership or limited liability company, pursuant to Section 13 or 16 of the
Securities
Exchange Act of 1934, as amended, and any and all regulations promulgated
thereunder, (ii)
file the same (including any amendments thereto), with all exhibits thereto, and
any other
documents in connection therewith, with the Securities and Exchange Commission,
and any
stock exchange or similar authority and (iii) take any other action of any type
whatsoever
in connection with the foregoing which, in the opinion of such attorney-in-fact,
may be of
benefit to, in the best interest of, or legally required by, the undersigned, it
being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned
pursuant to this power of attorney shall be in such form and shall contain such
terms and
conditions as such attorney-in-fact may approve in such attorney-in-fact's
discretion,
granting unto said attorney-in-fact full power and authority to do and perform
each and
every act and thing necessary, desirable or appropriate.
Each of the undersigned hereby grant to the attorney-in-fact full power and
authority to do
and perform any and every act and thing whatsoever requisite, necessary or
proper to be done
in the exercise of any of the rights and powers herein granted, as fully to all
intents and
purposes as the undersigned might or could do if personally present with full
power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact
or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause
to be done
by virtue of this power of attorney and the rights and powers herein granted.
This power of attorney shall remain in full force and effect until revoked by
the
undersigned in a signed writing delivered to the attorney-in-fact.
IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 11th day of
April,
2008.
/s/ Nicholas Galakatos
Nicholas Galakatos
/s/ Dennis Henner
Dennis Henner
/s/ Jeffrey Leiden
Jeffrey Leiden
/s/ Nick Simon
Nick Simon
/s/ Michael Steinmetz
Michael Steinmetz
/s/ Kurt Wheeler
Kurt Wheeler