1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, |
BUILDING 1, SUITE 135 |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
TANDEM DIABETES CARE INC
[ TNDM ]
|
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) 11/19/2013
|
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 |
|
1. Name and Address of Reporting Person*
3000 SAND HILL ROAD, |
BUILDING 1, SUITE 135 |
(Street)
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*
3000 SAND HILL ROAD |
BUILDING 1, SUITE 135 |
(Street)
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*
3000 SAND HILL ROAD |
BUILDING 1, SUITE 135 |
(Street)
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*
3000 SAND HILL ROAD |
BUILDING 1, SUITE 135 |
(Street)
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*
C/O DELPHI VENTURES, |
3000 SAND HILL RD., BLDG. 1, STE. 135 |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
3000 SAND HILL ROAD |
BUILDING 1, SUITE 135 |
(Street)
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*
3000 SAND HILL ROAD |
BUILDING 1, SUITE 135 |
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
/s/ Matthew T. Potter, by power of attorney for Delphi Management Partners VIII, L.L.C. |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for Delphi Management Partners VIII, L.L.C., as general partner of Delphi Ventures VIII, L.P. |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for Delphi Management Partners VIII, L.L.C., as general partner of Delphi BioInvestments VIII, L.P. |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for Deepika R. Pakianathan |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for Douglas A. Roeder |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for David L. Douglass |
11/21/2013 |
|
/s/ Matthew T. Potter, by power of attorney for James J. Bochnowski |
11/21/2013 |
|
** 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). |
** 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. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |