0001104659-20-093434.txt : 20200811
0001104659-20-093434.hdr.sgml : 20200811
20200811211724
ACCESSION NUMBER: 0001104659-20-093434
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200618
FILED AS OF DATE: 20200811
DATE AS OF CHANGE: 20200811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEVITAN DAN
CENTRAL INDEX KEY: 0001202435
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36537
FILM NUMBER: 201093915
MAIL ADDRESS:
STREET 1: 505 FIFTH AVE S
STREET 2: STE 600
CITY: SEATTLE
STATE: WA
ZIP: 98104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TRUPANION, INC.
CENTRAL INDEX KEY: 0001371285
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6100 4TH AVENUE SOUTH
STREET 2: SUITE 200
CITY: SEATTLE
STATE: WA
ZIP: 98108
BUSINESS PHONE: 888-733-2685
MAIL ADDRESS:
STREET 1: 6100 4TH AVENUE SOUTH
STREET 2: SUITE 200
CITY: SEATTLE
STATE: WA
ZIP: 98108
FORMER COMPANY:
FORMER CONFORMED NAME: TRUPANION INC.
DATE OF NAME CHANGE: 20131114
FORMER COMPANY:
FORMER CONFORMED NAME: VETINSURANCE INTERNATIONAL INC
DATE OF NAME CHANGE: 20060802
4
1
tm2027321-1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-06-18
0
0001371285
TRUPANION, INC.
TRUP
0001202435
LEVITAN DAN
411 FIRST AVENUE SOUTH, SUITE 600
SEATTLE
WA
98104
1
0
0
0
Common Stock
2020-06-18
5
G
0
E
850
0
D
20950
I
By Trust - Levitan Family Foundation
Common Stock
426934
I
See footnote
Common Stock
58538
I
See footnote
Common Stock
18114
I
See footnote
Common Stock
25707
I
See footnote
Common Stock
4816
I
See footnote
Common Stock
86381
D
Shares are held by a trust the holdings of which are attributable to the reporting person.
Shares are owned directly by Maveron Equity Partners III, L.P. ("Maveron Equity"). The reporting person, together with Clayton Lewis, Peter McCormick and Jason Stoffer, are members of Maveron General Partner III LLC ("Maveron GP"), which is the general partner of Maveron Equity, and may be deemed to share voting and investment power over the securities held by Maveron Equity. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares are owned directly by MEP Associates III, L.P. ("Maveron Associates"). The reporting person, together with Clayton Lewis, Peter McCormick and Jason Stoffer, are members of Maveron GP, which is the general partner of Maveron Associates, and may be deemed to share voting and investment power over the securities held by Maveron Associates. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares are owned directly by Maveron III Entrepreneurs Fund, L.P. ("Maveron Entrepreneurs"). The reporting person, together with Clayton Lewis, Peter McCormick and Jason Stoffer, are members of Maveron GP, which is the general partner of Maveron Entrepreneurs, and may be deemed to share voting and investment power over the securities held by Maveron Entrepreneurs. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares are owned directly by Maveron GP. The reporting person, together with Clayton Lewis, Peter McCormick and Jason Stoffer, are members of Maveron GP, and may be deemed to share voting and investment power over the securities held by Maveron GP. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Shares are owned directly by Maveron LLC. The reporting person is a member of Maveron LLC, and may be deemed to share voting and investment power over the securities held by Maveron LLC. The reporting person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Each reporting person disclaims the existence of a "group" and disclaims beneficial ownership of any securities except to the extent of such reporting persons' pecuniary interest in such securities.
/s/ Peter McCormick as attorney-in-fact for Dan Levitan
2020-08-11