0001615050-14-000001.txt : 20141002 0001615050-14-000001.hdr.sgml : 20141002 20141002190706 ACCESSION NUMBER: 0001615050-14-000001 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140723 FILED AS OF DATE: 20141002 DATE AS OF CHANGE: 20141002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intersect ENT, Inc. CENTRAL INDEX KEY: 0001271214 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 200280837 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-641-2100 MAIL ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: SINEXUS INC DATE OF NAME CHANGE: 20031124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fletcher Mark J CENTRAL INDEX KEY: 0001615050 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36545 FILM NUMBER: 141138030 MAIL ADDRESS: STREET 1: 710 MEDTRONIC PARKWAY STREET 2: C/O MEDTRONIC, INC. CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 3/A 1 primary_doc.xml PRIMARY DOCUMENT X0206 3/A 2014-07-23 2014-07-28 0 0001271214 Intersect ENT, Inc. XENT 0001615050 Fletcher Mark J 710 MEDTRONIC PARKWAY C/O MEDTRONIC, INC. MINNEAPOLIS MN 55432-5604 1 0 0 0 No securities beneficially owned. 0 D On July 28, 2014, Reporting Person reported on a Form 3 an indirect beneficial ownership of shares of Series C Convertible Preferred Stock and Series D Convertible Preferred Stock of Issuer held by Medtronic, Inc. Reporting Person is the President of Surgical Technologies of Medtronic, Inc. Pursuant to safe harbor set forth in Rule 16a-1(a)(2)(iii), Reporting Person is not deemed to have a pecuniary interest in the securities held by Medtronic, Inc., and therefore, was not required to report the indirect beneficial ownership of the shares held by Medtronic, Inc. As of July 23, 2014, the Reporting Person did not beneficially own any shares of Issuer. /s/ Mark Fletcher 2014-10-02