0001209191-22-045124.txt : 20220809 0001209191-22-045124.hdr.sgml : 20220809 20220809212450 ACCESSION NUMBER: 0001209191-22-045124 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220502 FILED AS OF DATE: 20220809 DATE AS OF CHANGE: 20220809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Filloux Dominique J. CENTRAL INDEX KEY: 0001879020 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40919 FILM NUMBER: 221150187 MAIL ADDRESS: STREET 1: C/O MINERVA SURGICAL, INC. STREET 2: 4225 BURTON DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINERVA SURGICAL INC CENTRAL INDEX KEY: 0001452965 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 263422906 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4255 BURTON DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (855) 646-7874 MAIL ADDRESS: STREET 1: 4255 BURTON DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-05-02 0 0001452965 MINERVA SURGICAL INC UTRS 0001879020 Filloux Dominique J. C/O MINERVA SURGICAL, INC. 4255 BURTON DRIVE SANTA CLARA CA 95054 0 1 0 0 COO Common Stock 2022-05-02 4 A 0 60198 0.00 A 266289 D 60,198 of the securities are restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. 25% of the RSUs will vests on May 16, 2023, and additional 25% of the RSUs will vest annually thereafter, subject to the Reporting Person continuing as a service provider through each such date. 24,500 of the securities are restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. 100% of the RSUs vest on on December 15, 2022, subject to the Reporting Person continuing as a service provider on such date. 24,522 of the securities were acquired pursuant to the exercise of an early-exercise option and remain subject to a right of repurchase by the Company, which shall lapse with respect to one-forty-eighth of the shares on June 10, 2019 and with respect to one-forty-eighth of the remaining shares each month thereafter. Lenka Schvaigerova, Attorney-in-fact for Dominique J. Filloux 2022-08-09