0001104659-20-138748.txt : 20201222 0001104659-20-138748.hdr.sgml : 20201222 20201222202009 ACCESSION NUMBER: 0001104659-20-138748 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201222 FILED AS OF DATE: 20201222 DATE AS OF CHANGE: 20201222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARTHELEMY NICOLAS CENTRAL INDEX KEY: 0001283576 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39815 FILM NUMBER: 201409504 MAIL ADDRESS: STREET 1: 1750 BELLA LAGUNA CT CITY: ENCINITAS STATE: CA ZIP: 92024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 908 Devices Inc. CENTRAL INDEX KEY: 0001555279 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 454524096 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 645 SUMMER STREET CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 978-729-4478 MAIL ADDRESS: STREET 1: 645 SUMMER STREET CITY: BOSTON STATE: MA ZIP: 02210 4 1 tm2039218d3_4.xml OWNERSHIP DOCUMENT X0306 4 2020-12-22 0 0001555279 908 Devices Inc. MASS 0001283576 BARTHELEMY NICOLAS C/O 908 DEVICES INC. 645 SUMMER STREET BOSTON MA 02210 1 0 0 0 Common Stock, par value $0.001 2020-12-22 4 C 0 19541 A 19541 I See Footnote Common Stock, par value $0.001 2020-12-22 4 P 0 14000 20.00 A 14000 D Series E Preferred Stock 2020-12-22 4 C 0 19541 0.00 D Common Stock, par value $0.001 19541 0 I See Footnote Each share of Series E Preferred Stock (the "Preferred Shares") converted into 0.61459 shares of the Issuer's Common Stock automatically upon the closing of the Issuer's initial public offering without payment of additional consideration. The Preferred Shares were convertible at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering, and had no expiration date. These securities are owned directly by The Barthelemy 2001 Trust. The reporting person and his spouse are trustees of The Barthelemy 2001 Trust and have joint voting and dispositive control with respect to all securities held by The Barthelemy 2001 Trust and may be deemed to be the beneficial owner of the securities held by The Barthelemy 2001 Trust. /s/ Michael S. Turner, as Attorney-in-Fact 2020-12-22