SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PTV SCIENCES II L P

(Last) (First) (Middle)
3600 N. CAPITAL OF TEXAS HIGHWAY
BUILDING B, SUITE 180

(Street)
AUSTIN CA 78746

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Intersect ENT, Inc. [ XENT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/29/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 07/29/2014 C 974,025 A (1) 974,025 D(4)
Common Stock 07/29/2014 C 1,198,630 A (2) 2,172,655 D(4)
Common Stock 07/29/2014 C 404,311 A (3) 2,576,966 D(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series B Convertible Preferred Stock (1) 07/29/2014 C 974,025 (1) (1) Common Stock 974,025 $0.00 0 D(4)
Series C Convertible Preferred Stock (2) 07/29/2014 C 1,198,630 (2) (2) Common Stock 1,198,630 $0.00 0 D(4)
Series D Convertible Preferred Stock (3) 07/29/2014 C 404,311 (3) (3) Common Stock 404,311 $0.00 0 D(4)
1. Name and Address of Reporting Person*
PTV SCIENCES II L P

(Last) (First) (Middle)
3600 N. CAPITAL OF TEXAS HIGHWAY
BUILDING B, SUITE 180

(Street)
AUSTIN CA 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Pinto Technology Ventures GP II, L.P.

(Last) (First) (Middle)
3600 N. CAPITAL OF TEXAS HIGHWAY
BUILDING B, SUITE 180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Pinto TV GP CO LLC

(Last) (First) (Middle)
3600 N. CAPITAL OF TEXAS HIGHWAY
BUILDING B, SUITE 180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. The Series B Convertible Preferred Stock automatically converted into Issuer's Common Stock on a one-for-one basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
2. The Series C Convertible Preferred Stock automatically converted into Issuer's Common Stock on a one-for-one basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
3. The Series D Convertible Preferred Stock automatically converted into Issuer's Common Stock on a one-for-one basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
4. Pinto Technology Ventures GP II, L.P., or PTV GP II, is the general partner of PTV Sciences II, L.P., or PTVS II. Pinto TV GP Company LLC, or TV GP, is the general partner of PTV GP II. Each of Matthew Crawford and Rick Anderson is a manager of TV GP and may be deemed to have beneficial ownership of the shares held by PTVS II. Such persons and entities disclaim beneficial ownership of shares held by PTVS II, except to the extent of any proportionate pecuniary interest therein.
Remarks:
PTV Sciences II, L.P., By: Pinto Technology Ventures GP II, L.P., Its: General Partner, By: Pinto TV GP Company LLC, Its: General Partner, By: Rick Anderson, Its: Manager, /s/ Rick D. Anderson 07/29/2014
/s/ Rick D. Anderson 07/29/2014
/s/ Matthew Crawford 07/29/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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