0001575872-22-000336.txt : 20220426
0001575872-22-000336.hdr.sgml : 20220426
20220426213728
ACCESSION NUMBER: 0001575872-22-000336
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220426
FILED AS OF DATE: 20220426
DATE AS OF CHANGE: 20220426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hochschuler Stephen
CENTRAL INDEX KEY: 0001378563
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41364
FILM NUMBER: 22856072
MAIL ADDRESS:
STREET 1: C/O TENON MEDICAL, INC.
STREET 2: 104 COOPER COURT
CITY: LOS GATOS
STATE: CA
ZIP: 95032
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Tenon Medical, Inc.
CENTRAL INDEX KEY: 0001560293
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 455574718
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 90 WEST MAIN AVE.
STREET 2: SUITE 6
CITY: MORGAN HILL
STATE: CA
ZIP: 95037
BUSINESS PHONE: 863-673-4062
MAIL ADDRESS:
STREET 1: 90 WEST MAIN AVE.
STREET 2: SUITE 6
CITY: MORGAN HILL
STATE: CA
ZIP: 95037
3
1
ownership.xml
X0206
3
2022-04-26
0
0001560293
Tenon Medical, Inc.
TNON
0001378563
Hochschuler Stephen
104 COOPER COURT
LOS GATOS
CA
95032
1
0
0
0
Common Stock
19725
I
See footnote
Common Stock
24900
D
Stock Options
0.62
2016-12-15
2026-11-15
Common Stock
8536
D
Consists of (i) 15,253 shares of common stock issuable to SHKH, LLC, an entity for which Stephen H. Hochschuler has a controlling interest, upon the automatic conversion of a convertible note on the closing of the initial public offering of Tenon Medical, Inc. to occur on April 29, 2022, and (ii) 4,472 shares of common stock issuable to SHKH, LLC upon the conversion of Series B Preferred Stock on the closing of the initial public offering.
Stephen Hochschuler was granted an option to purchase 17,071 shares (or 8,536 shares after the 1-for-2 reverse stock split was effectuated on April 6, 2022) of common stock at an exercise price of $0.31 (or $0.62 post-split) per share with a grant date of November 15, 2016. All of the shares underlying the option have vested.
/s/ Stephen H. Hochschuler
2022-04-26