0001567619-18-000665.txt : 20180813 0001567619-18-000665.hdr.sgml : 20180813 20180813182054 ACCESSION NUMBER: 0001567619-18-000665 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180809 FILED AS OF DATE: 20180813 DATE AS OF CHANGE: 20180813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NASR KHALED CENTRAL INDEX KEY: 0001276600 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38238 FILM NUMBER: 181013676 MAIL ADDRESS: STREET 1: 2710 SAND HILL ROAD, SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: InterWest Partners IX, LP CENTRAL INDEX KEY: 0001398928 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38238 FILM NUMBER: 181013677 BUSINESS ADDRESS: STREET 1: 2710 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-8585 MAIL ADDRESS: STREET 1: 2710 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: InterWest Management Partners IX, LLC CENTRAL INDEX KEY: 0001398927 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38238 FILM NUMBER: 181013678 BUSINESS ADDRESS: STREET 1: 2710 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-8585 MAIL ADDRESS: STREET 1: 2710 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORONSKY ARNOLD L CENTRAL INDEX KEY: 0001207833 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38238 FILM NUMBER: 181013679 MAIL ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 2710 SAND HILL ROAD, SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Restoration Robotics, Inc. CENTRAL INDEX KEY: 0001409269 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 061681204 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 128 BAYTECH DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 BUSINESS PHONE: 408-883-6888 MAIL ADDRESS: STREET 1: 128 BAYTECH DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 FORMER COMPANY: FORMER CONFORMED NAME: Restoration Robotics Inc DATE OF NAME CHANGE: 20070808 4 1 doc1.xml FORM 4 X0306 4 2018-08-09 0 0001409269 Restoration Robotics, Inc. HAIR 0001398928 InterWest Partners IX, LP 2710 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001398927 InterWest Management Partners IX, LLC 2710 SAND HILL ROAD SUITE 200 MENLO PARK CA 94025 0 0 1 0 0001207833 ORONSKY ARNOLD L C/O INTERWEST 2710 SAND HILL ROAD 2ND FLOOR MENLO PARK CA 94025 0 0 1 0 0001276600 NASR KHALED C/O INTERWEST 2710 SAND HILL ROAD, SUITE 200 MENLO PARK CA 94025 0 0 1 0 Common Stock 2018-08-09 4 P 0 2000000 1.50 A 5355786 D The shares were acquired in connection with an underwritten public offering of common stock which is scheduled to close on August 14, 2018. The shares are directly held by InterWest Partners IX, LP ("IW9"). InterWest Management Partners IX, LLC ("IMP9") as the general partner of IW9, may be deemed to beneficially own the shares held by IW9. Arnold L. Oronsky and Gilbert H. Kliman are managing director of IMP9, and Khaled A. Nasr is a Venture Member of IMP9. Each of the foregoing persons may be deemed to beneficially own the shares held by IW9 and each foregoing person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. /s/ Karen Wilson, Attorney-in-Fact for InterWest Partners IX, LP 2018-08-13 /s/ Karen Wilson, Attorney-in-Fact for InterWest Management Partners IX, LLC 2018-08-13 /s/ Karen Wilson, Attorney-in-Fact for Arnold L Oronsky 2018-08-13 /s/ Karen Wilson, Attorney-in-Fact for Khaled A. Nasr 2018-08-13 EX-99 2 ex99.htm

FORM 4 JOINT FILER INFORMATION

Name of

“Reporting Persons”:

InterWest Partners IX, L.P. (“IW9”)

InterWest Management Partners IX, LLC (“IMP9”)

Arnold L. Oronsky

Khaled Nasr

Address:

2710 Sand Hill Road, Suite 200

Menlo Park, CA 94025

Designated Filer:

InterWest Partners IX, L.P.

Issuer and Ticker Symbol:

Restoration Robotics, Inc. (“HAIR”)

Date of Event:

August 9, 2018

Each of the following is a Joint Filer with InterWest Partners IX L.P. (“IW9”) and may be deemed to share indirect beneficial ownership in the securities set forth on the attached Form 4:

InterWest Management Partners IX, LLC (“IMP9”) is the general partner of IW9 and has sole voting and investment control over the shares owned by IW9. Gilbert H. Kliman, and Arnold L. Oronsky are Managing Directors of IMP9 and Khaled A. Nasr is a Venture Member of IMP9. Gilbert H. Kliman, a Managing Director of IMP9 is also a Director of the Issuer, and has filed a separate Form 4 in his own name

All Reporting Persons disclaim beneficial ownership of shares of Restoration Robotics, Inc. stock held by IW9, except to the extent of their respective pecuniary interest therein. The filing of this statement shall not be deemed an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934, or otherwise, any of the Reporting Persons are the beneficial owner of all of the equity securities covered by this statement.

Each of the Reporting Persons listed above has designated InterWest Partners IX, L.P. as its designated filer of Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder. Each Reporting Person has appointed InterWest Management Partners IX, LLC as its attorney in fact for the purpose of making reports relating to transaction in Restoration Robotics, Inc. Common Stock.

InterWest Management Partners IX, L.L.C.			InterWest Partners IX, LP

			By:	InterWest Management Partners IX, LLC
By:	/s/ Karen A. Wilson			Its General Partner
	Karen A. Wilson, Power of Attorney

			By:	/s/ Karen A. Wilson
				Karen A. Wilson, Power of Attorney

Arnold L. Oronsky, an individual			Khaled A. Nasr, an individual
By:	InterWest Management Partners IX, LLC,		By:	InterWest Management Partners IX, LLC,
	as Attorney-in-Fact			as Attorney-in-Fact

By:	/s/ Karen A. Wilson		By:	/s/ Karen A. Wilson
	Karen A. Wilson, Power of Attorney			Karen A. Wilson, Power of Attorney