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