SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Kliman Gilbert H

(Last) (First) (Middle)
C/O GLAUKOS CORPORATION
229 AVENIDA FABRICANTE

(Street)
SAN CLEMENTE CA 92672

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/12/2020
3. Issuer Name and Ticker or Trading Symbol
GLAUKOS Corp [ GKOS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,362 I By InterWest Partners IX, LP(1)
Common Stock 1,000,917 I By InterWest Partners X, LP(2)
Common Stock 9,085 I By InterWest Venture Management Company(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (4) 07/10/2024 Common Stock 10,000 $7.275 D
Stock Option (Right to Buy) (4) 07/23/2025 Common Stock 25,000 $32 D
Stock Option (Right to Buy) (4) 06/02/2026 Common Stock 15,000 $24.69 D
Stock Option (Right to Buy) (4) 12/13/2027 Common Stock 15,000 $25.77 D
Explanation of Responses:
1. Consists of shares owned by InterWest Partners IX, LP (''IP9''). The Reporting Person is a Managing Director of InterWest Management Partners IX, LLC, the general partner of IP9. The Reporting Person has shared voting and investment control over the shares owned by IP9, and disclaims beneficial ownership of those securities, except to the extent of his pecuniary interest therein.
2. Consists of shares owned by InterWest Partners X, LP ("IP10"). The Reporting Person is a Managing Director of InterWest Management Partners X, LLC, the general partner of IP10. The Reporting Person has shared voting and investment control over shares owned by IP10, and disclaims beneficial ownership of those securities, except to the extent of his pecuniary interest therein.
3. Consists of shares owned by InterWest Venture Management Company ("IVMC"). The Reporting Person is an officer, director and shareholder of IVMC and has shared voting and investment control over shares owned by IVMC; however, he disclaims beneficial ownership of those securities, except to the extent of his pecuniary interest therein.
4. Fully vested as of the date of this filing.
/s/ Robert L. Davis, Attorney-in-Fact 03/16/2020
** 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 5 (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.
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