0001548538-20-000010.txt : 20200527
0001548538-20-000010.hdr.sgml : 20200527
20200527205645
ACCESSION NUMBER: 0001548538-20-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200527
FILED AS OF DATE: 20200527
DATE AS OF CHANGE: 20200527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Presidio Management Group X LLC
CENTRAL INDEX KEY: 0001602744
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916750
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: US VENTURE PARTNERS X LP
CENTRAL INDEX KEY: 0001440514
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916751
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: USVP X AFFILIATES LP
CENTRAL INDEX KEY: 0001453359
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916752
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: FEDERMAN IRWIN
CENTRAL INDEX KEY: 0001192391
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916753
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: 001-39293
FILM NUMBER: 20916754
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lewis Richard W.
CENTRAL INDEX KEY: 0001534399
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916755
MAIL ADDRESS:
STREET 1: US VENTURE PARTNERS
STREET 2: 2735 SAND HILL ROAD
CITY: MELO PARK
STATE: CA
ZIP: 94025
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: 001-39293
FILM NUMBER: 20916756
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tansey Casey M
CENTRAL INDEX KEY: 0001474322
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 20916757
MAIL ADDRESS:
STREET 1: 2735 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Inari Medical, Inc.
CENTRAL INDEX KEY: 0001531048
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 452902923
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9 PARKER, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-923-4747
MAIL ADDRESS:
STREET 1: 9 PARKER, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
FORMER COMPANY:
FORMER CONFORMED NAME: Inceptus Newco1 Inc.
DATE OF NAME CHANGE: 20110923
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2020-05-27
0001531048
Inari Medical, Inc.
NARI
0001602744
Presidio Management Group X LLC
1460 EL CAMINO REAL, SUITE 100
MENLO PARK
CA
94025
0
0
1
0
0001440514
US VENTURE PARTNERS X LP
1460 EL CAMINO REAL, SUITE 100
MENLO PARK
CA
94025
0
0
1
0
0001453359
USVP X AFFILIATES LP
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
0001534399
Lewis Richard W.
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
0001474322
Tansey Casey M
1460 EL CAMINO REAL, SUITE 100
MENLO PARK
CA
94025
0
0
1
0
Common Stock
2020-05-27
4
C
0
2307142
A
2307142
I
Directly owned by USVP X
Common Stock
2020-05-27
4
C
0
2899876
A
5207018
I
Directly owned by USVP X
Common Stock
2020-05-27
4
C
0
2278331
A
7485349
I
Directly owned by USVP X
Common Stock
2020-05-27
4
C
0
73809
A
73809
I
Directly owned by AFF X
Common Stock
2020-05-27
4
C
0
92771
A
166580
I
Directly owned by AFF X
Common Stock
2020-05-27
4
C
0
72887
A
239467
I
Directly owned by AFF X
Common Stock
2020-05-27
4
P
0
97962
19.00
A
97962
I
Directly owned by Casey Tansey
Series A Preferred Stock
2020-05-27
4
C
0
2307142
0
D
Common Stock
2307142
0
I
Directly owned by USVP X
Series A Preferred Stock
2020-05-27
4
C
0
73809
0
D
Common Stock
73809
0
I
Directly owned by AFF X
Series B Preferred Stock
2020-05-27
4
C
0
2899876
0
D
Common Stock
2899876
0
I
Directly owned by USVP X
Series B Preferred Stock
2020-05-27
4
C
0
92771
0
D
Common Stock
92771
0
I
Directly owned by AFF X
Series C Preferred Stock
2020-05-27
4
C
0
2278331
0
D
Common Stock
2278331
0
I
Directly owned by USVP X
Series C Preferred Stock
2020-05-27
4
C
0
72887
0
D
Common Stock
72887
0
I
Directly owned by AFF X
Each share of the Issuer's preferred stock is convertible on a one-to-one basis into shares of the Issuer's common stock at the holder's election and has no expiration date. The preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering.
The reported securities are owned directly by each of U.S. Venture Partners X, L.P. ("USVP X") and USVP X Affiliates Fund, L.P. ("AFF X") (together, the "USVP X Funds"). Presidio Management Group X, L.L.C. ("PMG X") is the general partner of each of the USVP X Funds and may be deemed to have sole voting and dispositive power over the reported securities held by the USVP X Funds. Jonathan D. Root, a director of the issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by the USVP X Funds. Such persons and entities disclaim beneficial ownership of the reported securities held by the USVP X Funds, except to the extent of any pecuniary interest therein
Presidio Management Group X, L.L.C., By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
U.S. Venture Partners X, L.P, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
USVP X Affiliates, L.P, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
Irwin Federman, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
Steven M Krausz, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
Richard W. Lewis, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
Paul Matteucci, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27
Casey M. Tansey, By: /s/ Dale Holladay - Attorney in Fact
2020-05-27