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