0001209191-14-057611.txt : 20140912 0001209191-14-057611.hdr.sgml : 20140912 20140912100449 ACCESSION NUMBER: 0001209191-14-057611 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140909 FILED AS OF DATE: 20140912 DATE AS OF CHANGE: 20140912 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ATWOOD BRIAN G CENTRAL INDEX KEY: 0001266567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099812 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4 SUITE 210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COLELLA SAMUEL D CENTRAL INDEX KEY: 0001201580 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099814 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, 4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILDER DONALD B CENTRAL INDEX KEY: 0001279660 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099815 MAIL ADDRESS: STREET 1: 3000 SAND HILL RD STREET 2: BUILDING 4, SUITE 210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LUBASH BARBARA N CENTRAL INDEX KEY: 0001279592 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099816 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD # 4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LINK WILLIAM J PHD CENTRAL INDEX KEY: 0001228684 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099817 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, #4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Versant Side Fund II, LP CENTRAL INDEX KEY: 0001354307 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099820 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-7877 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Versant Venture Capital II, LP CENTRAL INDEX KEY: 0001354131 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099821 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-7877 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inogen Inc CENTRAL INDEX KEY: 0001294133 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 BUSINESS PHONE: 805-562-0500 MAIL ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Versant Ventures II LLC CENTRAL INDEX KEY: 0001354727 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099818 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL RD., #4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-7877 MAIL ADDRESS: STREET 1: 3000 SAND HILL RD., #4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAFFE ROSS A MD CENTRAL INDEX KEY: 0001181338 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099813 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, #4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Versant Affiliates Fund II-A, LP CENTRAL INDEX KEY: 0001354132 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 141099819 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-7877 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BLDG. 4, STE. 210 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-09-09 0 0001294133 Inogen Inc INGN 0001354727 Versant Ventures II LLC 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001228684 LINK WILLIAM J PHD 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001279592 LUBASH BARBARA N 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001279660 MILDER DONALD B 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001201580 COLELLA SAMUEL D 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001181338 JAFFE ROSS A MD 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001266567 ATWOOD BRIAN G 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001354131 Versant Venture Capital II, LP 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001354307 Versant Side Fund II, LP 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 0001354132 Versant Affiliates Fund II-A, LP 3000 SAND HILL ROAD, STE 4-210 MENLO PARK CA 94025 0 0 1 0 Common Stock 2014-09-09 4 S 0 7388 23.2496 D 62733 I see footnore Common Stock 2014-09-09 4 J 0 3476 0.00 D 29537 I see footnote Common Stock 2014-09-09 4 J 0 389136 0.00 D 3306680 I see footnote Common Stock 2014-09-09 4 J 0 194 0.00 A 194 I see footnote Common Stock 2014-09-09 4 J 0 388 0.00 A 388 I see footnote Common Stock 2014-09-09 4 J 0 243 0.00 A 243 I see footnote Common Stock 2014-09-09 4 J 0 243 0.00 A 243 I see footnote Common Stock 2014-09-09 4 J 0 486 0.00 A 486 I see footnote Common Stock 2014-09-09 4 J 0 243 0.00 A 243 I see footnote Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transactions reported was $22.71 to $23.91 per share. Each Reporting Person undertakes to provide, upon request by the SEC staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. Shares held by Versant Affiliates Fund II-A, L.P. ("VAF II-A"). Versant Ventures II, LLC ("VVC II") serves as the sole general partner of VAF II-A. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VVC II and share voting and dispositive power over the shares held by VAF II-A, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares. Represents a pro-rata in-kind distribution of Common Stock of the Issuer to the partners of Versant Side Fund II, L.P. ("VSF II") without the receipt of consideration. Shares held by VSF II. VVC II serves as the sole general partner of VSF II. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VVC II and share voting and dispositive power over the shares held by VSF II, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares. Represents a pro-rata in-kind distribution of Common Stock of the Issuer to the partners of Versant Venture Capital II, L.P. ("VV II") without the receipt of consideration. Shares held by VV II. VVC II serves as the sole general partner of VV II. Brian G. Atwood, Samuel D. Colella, Ross A. Jaffe, William J. Link, Ph.D., Donald B. Milder, Rebecca B. Robertson, Bradley J. Bolzon, Charles M. Warden, and Barbara N. Lubash are directors and/or members of VVC II and share voting and dispositive power over the shares held by VV II, however, each disclaim beneficial ownership of these shares, except to the extent of their pecuniary interest in such shares. Represents receipt of an in-kind distribution of Common Stock from VSF II to its limited partners. Shares held by Atwood-Edminster Trust dated 4/2/2000 for the benefit of Brian G. Atwood. Shares held by Colella Family Partners and Colella Family Trust UTA Dated 9/21/92 for the benefit of Samuel D. Colella. Shares held by Jaffe Family Trust for the benefit of Ross A. Jaffe. Shares held by Link Family Trust, dated May 19, 2005 for the benefit of William J. Link. Shares held by Milder Community Property Trust Dated 11/7/91, as amended and restated 11/20/98 for the benefit of Donald B. Milder. Shares held by Robertson Family Trust U/D/T 5/7/98 for the benefit of Rebecca B. Robertson. 1 of 2 /s/ Robin L. Praeger 2014-09-11