SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Dewey Christopher C

(Last) (First) (Middle)
BOX 23
173 LAMINGTON ROAD

(Street)
OLDWICK NJ 08858

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/14/2008
3. Issuer Name and Ticker or Trading Symbol
MAKO Surgical Corp. [ MAKO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,409,900 I By Z-KAT, Inc.(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock 12/17/2004 (2) Common Stock 291,372(2) (2) D
Series A Convertible Preferred Stock 01/11/2008 (2) Common Stock 3,300(2)(3) (2) I By Daughter
Series A Convertible Preferred Stock 01/11/2008 (2) Common Stock 3,300(2)(3) (2) I By Daughter
Series A Convertible Preferred Stock 06/29/2005 (2) Common Stock 22,984(2) (2) D
Series B Convertible Preferred Stock 07/14/2005 (2) Common Stock 190,019(2) (2) D
Series C Convertible Preferred Stock 02/06/2007 (2) Common Stock 214,302(2) (2) D
Common Stock Warrants (right to buy) 12/17/2004 12/17/2014 Common Stock 111,182 $3 D
Explanation of Responses:
1. The reporting person is a member of the board of directors of Z-KAT, Inc. and serves as the acting Chief Executive Officer of Z-KAT, Inc., but he disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
2. The convertible preferred stock has no expiration date. As a result of a one-for-3.03 reverse split of MAKO Surgical Corp. common stock, each share of convertible preferred stock is convertible into .330033 of a share of common stock. Accordingly, upon the closing of the issuer's initial public offering, the convertible preferred stock will convert into the number of shares of common stock set forth in Column 3.
3. The reporting person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose.
Remarks:
Exhibit List Exhibit 24 - Power of Attorney
/s/Menashe R. Frank, attorney in fact 02/14/2008
** 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 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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