0001548538-18-000007.txt : 20181113 0001548538-18-000007.hdr.sgml : 20181113 20181113201305 ACCESSION NUMBER: 0001548538-18-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181108 FILED AS OF DATE: 20181113 DATE AS OF CHANGE: 20181113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KRAUSZ STEVEN M CENTRAL INDEX KEY: 0001190636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180007 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LIDDLE DAVID E CENTRAL INDEX KEY: 0001212726 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180008 MAIL ADDRESS: STREET 1: C/O THE NEW YORK TIMES CO STREET 2: 229 WEST 43RD ST CITY: NEW YORK STATE: NY ZIP: 10036 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Matteucci Paul A CENTRAL INDEX KEY: 0001370817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180009 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROOT JONATHAN D CENTRAL INDEX KEY: 0001225480 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180010 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YOUNG PHILIP M CENTRAL INDEX KEY: 0001048637 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180011 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FEDERMAN IRWIN CENTRAL INDEX KEY: 0001192391 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180012 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Presidio Management Group IX, L.L.C. CENTRAL INDEX KEY: 0001527715 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180013 BUSINESS ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9080 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: U S Venture Partners IX L P CENTRAL INDEX KEY: 0001309185 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 181180014 BUSINESS ADDRESS: STREET 1: 2735 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9080 MAIL ADDRESS: STREET 1: 2735 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inspire Medical Systems, Inc. CENTRAL INDEX KEY: 0001609550 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 261377674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9700 63RD AVENUE N STREET 2: SUITE 200 CITY: MAPLE GROVE STATE: X1 ZIP: 55369 BUSINESS PHONE: 763-205-7970 MAIL ADDRESS: STREET 1: 9700 63RD AVENUE N STREET 2: SUITE 200 CITY: MAPLE GROVE STATE: X1 ZIP: 55369 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2018-11-08 1 0001609550 Inspire Medical Systems, Inc. INSP 0001527715 Presidio Management Group IX, L.L.C. 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001309185 U S Venture Partners IX L P 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001192391 FEDERMAN IRWIN 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001190636 KRAUSZ STEVEN M 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001212726 LIDDLE DAVID E 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001370817 Matteucci Paul A 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001225480 ROOT JONATHAN D 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001048637 YOUNG PHILIP M 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 Common Stock 2018-11-08 4 J 0 1084127 D 1084127 I Directly owned by USVP IX Common Stock 2018-11-08 4 J 0 216825 A 216825 D Common Stock 2018-11-08 4 J 0 216825 D 0 D Common Stock 2018-11-08 4 J 0 18212 A 18212 I Directly owned by Irwin Federman Common Stock 2018-11-08 4 J 0 22573 A 22573 I Directly owned by Steven Krausz Common Stock 2018-11-08 4 J 0 15391 A 15391 I Directly owned by David Liddle Common Stock 2018-11-08 4 J 0 13356 A 13356 I Directly owned by Paul Matteucci Common Stock 2018-11-08 4 J 0 18982 A 18982 I Directly owned by Jonathan Root Common Stock 2018-11-08 4 J 0 18212 A 18212 I Directly owned by Philip Young Represents a pro-rata, in-kind distribution by U.S. Venture Partners IX, L.P. ("USVP IX"), without additional consideration, to its partners. This report is one of two reports each on a separate Form 4; however, these forms are related to the same transaction being filed by the reporting persons. The shares are held of record by USVP IX. Presidio Management Group IX, LLC ("PMG IX") is the general partner of USVP IX and may be deemed to have sole voting and dispositive power over the shares held by USVP IX. Casey Tansey, a director of the Issuer, and each of Irwin Federman, Steven M. Krausz, David E. Liddle, Paul A. Matteucci, Jonathan D. Root, and Philip M. Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein. Dale Holladay - Attorney in fact for each of the reporting persons 2018-11-13