0001193125-17-045232.txt : 20170215 0001193125-17-045232.hdr.sgml : 20170215 20170215160605 ACCESSION NUMBER: 0001193125-17-045232 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170215 DATE AS OF CHANGE: 20170215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Capnia, Inc. CENTRAL INDEX KEY: 0001484565 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 770523891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-88637 FILM NUMBER: 17614689 BUSINESS ADDRESS: STREET 1: 1235 RADIO ROAD STREET 2: SUITE 110 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-213-8444 MAIL ADDRESS: STREET 1: 1235 RADIO ROAD STREET 2: SUITE 110 CITY: REDWOOD CITY STATE: CA ZIP: 94065 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MARIO ERNEST CENTRAL INDEX KEY: 0001180469 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 20 FAIRMOUNT AVENUE STREET 2: P.O. BOX 445 CITY: CHATHAM STATE: NJ ZIP: 07928 SC 13G/A 1 d317390dsc13ga.htm SC 13G/A SC 13G/A

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No. 1)*

 

 

Capnia, Inc.

(Name of Issuer)

Common Stock, $0.001 par value per share

(Title of Class of Securities)

14066L105

(CUSIP Number)

December 31, 2016

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)

☐ Rule 13d-1(c)

☒ Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

 

 

 

 

Pagr 1 of 5


CUSIP No. 14066L105  

 

  1.   

Name of Reporting Person.

 

Ernest Mario

  2.  

Check the Appropriate Box if a Member of a Group (See Instructions)

(a)  ☐        (b)  ☐

 

  3.  

SEC Use Only

 

  4.  

Citizenship or Place of Organization

 

United States

Number of

Shares

Beneficially by

Owned by

Each

Reporting

Person

With:

   5.    

Sole Voting Power

 

2,095,089 (1)

   6.   

Shared Voting Power

 

   7.   

Sole Dispositive Power

 

2,095,089 (1)

   8.   

Shared Dispositive Power

 

  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

2,095,089 (1)

10.  

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

11.  

Percent of Class Represented by Amount in Row (9)

 

12.48% (2)

12.  

Type of Reporting Person (See Instructions)

 

IN

 

(1)  Includes (i) 1,779,262 shares of Common Stock held by the Reporting Person; (ii) 268,878 shares of Common Stock issuable within sixty (60) days of December 31, 2016 upon the exercise of outstanding warrants; and (iii) 46,949 shares of Common Stock issuable within sixty (60) days of December 31, 2016 upon the exercise of outstanding options.
(2)  Based on 16,786,952 shares of the Issuer’s Common Stock outstanding as of December 31, 2016 per direct disclosure from Company.

 

Page 2 of 5


Item 1.

 

  (a) Name of Issuer:

Capnia, Inc.

 

  (b) Address of Issuer’s Principal Executive Offices:

1235 Radio Road, Suite 110

Redwood City, CA 94065

 

Item 2.

 

  (a) Name of Person Filing:

Ernest Mario

 

  (b) Address of Principal Business Office or, if none, Residence:

c/o Capnia, Inc.

1235 Radio Road, Suite 110

Redwood City, CA 94065

 

  (c) Citizenship:

United States

 

  (d) Title of Class of Securities:

Common Stock, $0.001 par value per share

 

  (e) CUSIP Number: 14066L105

 

Item 3. If this statement is filed pursuant to §§240.13d-l(b) or 240.13d-2(b) or (c), check whether the person filing is a:

Not applicable.

 

Item 4. Ownership.

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

(a) Amount beneficially owned: (i) 1,779,262 shares of Common Stock held by the Reporting Person; (ii) 268,878 shares of Common Stock issuable within sixty (60) days of December 31, 2016 upon the exercise of outstanding warrants; and (iii) 46,949 shares of Common Stock issuable within sixty (60) days of December 31, 2016 upon the exercise of outstanding options.

 

(b) Percent of class: 12.48% (1)

 

(c) Number of shares as to which the person has:

 

(i) Sole power to vote or to direct the vote

     2,095,089   

(ii) Shared power to vote or to direct the vote

     0   

(iii) Sole power to dispose or to direct the disposition of

     2,095,089   

(iv) Shared power to dispose or to direct the disposition of

     0   

 

Page 3 of 5


Item 5. Ownership of Five Percent or Less of a Class.

Not applicable.

 

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

Not applicable.

 

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not applicable.

 

Item 8. Identification and Classification of Members of the Group.

Not applicable.

 

Item 9. Notice of Dissolution of Group.

Not applicable.

 

Item 10. Certifications.

Not applicable.

 

 

(1)  Based on 16,786,952 shares of the Issuer’s Common Stock outstanding as of December 31, 2016 per direct disclosure from Company.

 

Page 4 of 5


SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

February 15, 2017

Date

/s/ Ernest Mario

Ernest Mario

 

Page 5 of 5