0001181431-13-042326.txt : 20130801
0001181431-13-042326.hdr.sgml : 20130801
20130801203516
ACCESSION NUMBER: 0001181431-13-042326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130730
FILED AS OF DATE: 20130801
DATE AS OF CHANGE: 20130801
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HANSEN MEDICAL INC
CENTRAL INDEX KEY: 0001276591
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 800 EAST MIDDLEFIELD ROAD
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
BUSINESS PHONE: 650 404 5800
MAIL ADDRESS:
STREET 1: 800 EAST MIDDLEFIELD ROAD
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROHN WILLIAM R
CENTRAL INDEX KEY: 0001193207
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33151
FILM NUMBER: 131004438
MAIL ADDRESS:
STREET 1: PO BOX 676367
CITY: RANCHO SANTA FE
STATE: CA
ZIP: 92067
4
1
rrd387035.xml
X0306
4
2013-07-30
0
0001276591
HANSEN MEDICAL INC
HNSN
0001193207
ROHN WILLIAM R
800 EAST MIDDLEFIELD ROAD
MOUNTAIN VIEW
CA
94043
1
0
0
0
Common Stock
2013-07-30
4
P
0
100000
1.23
A
110000
I
Securities held by William R. Rohn and Mary Jane Rohn Family Trust dated August 12, 1999.
Warrant (Right to Buy Common Stock)
1.23
2013-07-30
4
P
0
40000
0.125
A
Common Stock
40000
40000
I
Securities held by William R. Rohn and Mary Jane Rohn Family Trust dated August 12, 1999.
Warrant (Right to Buy Common Stock)
1.50
2013-07-30
4
P
0
40000
0.125
A
Common Stock
40000
40000
I
Securities held by William R. Rohn and Mary Jane Rohn Family Trust dated August 12, 1999.
Warrant (Right to Buy Common Stock)
2.00
2013-07-30
4
P
0
40000
0.125
A
Common Stock
40000
40000
I
Securities held by William R. Rohn and Mary Jane Rohn Family Trust dated August 12, 1999.
The warrant shall be exercisable at any time after the date of issuance of the warrant, which shall be the closing date of the purchase and sale of shares and warrants pursuant to the Securities Purchase Agreement dated July 30, 2013, between Hansen Medical, Inc. and each purchaser identified in Exhibit A therein (the "Issuance Date").
The date that is two years following the Issuance Date.
/s/ William R. Rohn
2013-08-01