0001828795-20-000003.txt : 20201022
0001828795-20-000003.hdr.sgml : 20201022
20201022092301
ACCESSION NUMBER: 0001828795-20-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201020
FILED AS OF DATE: 20201022
DATE AS OF CHANGE: 20201022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Future Fund Board of Guardians
CENTRAL INDEX KEY: 0001505790
STATE OF INCORPORATION: C3
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39616
FILM NUMBER: 201251913
BUSINESS ADDRESS:
STREET 1: LEVEL 43, 120 COLLINS STREET
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
BUSINESS PHONE: 61 03 8656 6400
MAIL ADDRESS:
STREET 1: LEVEL 43, 120 COLLINS STREET
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Future Fund Investment Co No. 4 Pty Ltd
CENTRAL INDEX KEY: 0001828795
STATE OF INCORPORATION: C3
FISCAL YEAR END: 0630
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39616
FILM NUMBER: 201251914
BUSINESS ADDRESS:
STREET 1: LEVEL 42
STREET 2: 120 COLLINS STREET
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
BUSINESS PHONE: 61 3 8656 6400
MAIL ADDRESS:
STREET 1: LEVEL 42
STREET 2: 120 COLLINS STREET
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Eargo, Inc.
CENTRAL INDEX KEY: 0001719395
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 273879804
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
BUSINESS PHONE: 650-351-7700
MAIL ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2020-10-20
0001719395
Eargo, Inc.
EAR
0001505790
Future Fund Board of Guardians
LEVEL 42,
120 COLLINS STREET
MELBOURNE
C3
3000
AUSTRALIA
0
0
1
0
0001828795
Future Fund Investment Co No. 4 Pty Ltd
LEVEL 42,
120 COLLINS STREET
MELBOURNE
C3
3000
AUSTRALIA
0
0
1
0
Common Stock
2020-10-20
4
C
0
3690481
A
3690481
I
By subsidiary
Series D convertible preferred stock
2020-10-20
4
C
0
2617018
D
Common Stock
3262764
0
I
By subsidiary
Series E convertible preferred stock
2020-10-20
4
C
0
427717
D
Common Stock
427717
0
I
By Subsidiary
Upon the completion of the Issuer's initial public offering ("IPO"), each share of Series D convertible preferred stock mandatorily converted into 1.246748888 shares of the Issuer's common stock.
Upon the completion of the Issuer's IPO, each share of Series E convertible preferred stock mandatorily converted into shares of the Issuer's common stock on a 1:1 basis.
These securities are held of record by The Northern Trust Company in its capacity as custodian for Future Fund Investment Company No. 4 Pty Ltd. Future Fund Investment Company No. 4 Pty Ltd is a wholly owned subsidiary of Future Fund Board of Guardians and, accordingly, Future Fund Board of Guardians may be deemed to share beneficial ownership of the securities beneficially held by Future Fund Investment Company No. 4 Pty Ltd
Kylie Yong, Authorized Signatory for Future Fund Board of Guardians
2020-10-22
Paul Mann, Authorized Signatory for Future Fund Investment Company No. 4 Pty Ltd
2020-10-22