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