X0306 4 2017-10-17 0 0001494650 OptiNose, Inc. OPTN 0001555276 Avista Capital Partners II GP, LLC C/O AVISTA CAPITAL PARTNERS 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001441974 Avista Capital Partners II, L.P. C/O AVISTA CAPITAL PARTNERS 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001441976 Avista Capital Partners (Offshore) II, L.P. C/O AVISTA CAPITAL PARTNERS 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001555140 Avista Capital Partners (Offshore) II-A, LP C/O AVISTA CAPITAL PARTNERS 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 Common Stock 2017-10-17 4 A 0 887721 16.00 A 988292 I By Avista Capital investment fund Common Stock 2017-10-17 4 A 0 291516 16.00 A 4290651 I By Avista Capital investment fund Common Stock 2017-10-17 4 A 0 70763 16.00 A 1041511 I By Avista Capital investment fund Common Stock 2017-10-17 4 C 0 12077563 A 13065855 I By Avista Capital investment fund Common Stock 2017-10-17 4 C 0 3966107 A 4290651 I By Avista Capital investment fund Common Stock 2017-10-17 4 C 0 962735 A 1041511 I By Avista Capital investment fund Series C Convertible Preferred Stock 2017-10-17 4 C 0 2786097 0.00 D Common Stock 8045969 0 I By Avista Capital investment fund Series C Convertible Preferred Stock 2017-10-17 4 C 0 914916 0.00 D Common Stock 2642185 0 I By Avista Capital investment fund Series C Convertible Preferred Stock 2017-10-17 4 C 0 222089 0.00 D Common Stock 641370 0 I By Avista Capital investment fund Series C-1 Convertible Preferred Stock 2017-10-17 4 C 0 824986 0.00 D Common Stock 2382477 0 I By Avista Capital investment fund Series C-1 Convertible Preferred Stock 2017-10-17 4 C 0 270915 0.00 D Common Stock 782375 0 I By Avista Capital investment fund Series C-1 Convertible Preferred Stock 2017-10-17 4 C 0 65761 0.00 D Common Stock 189911 0 I By Avista Capital investment fund Series C-2 Convertible Preferred Stock 2017-10-17 4 C 0 354855 0.00 D Common Stock 1024785 0 I By Avista Capital investment fund Series C-2 Convertible Preferred Stock 2017-10-17 4 C 0 116529 0.00 D Common Stock 336524 0 I By Avista Capital investment fund Series C-2 Convertible Preferred Stock 2017-10-17 4 C 0 28286 0.00 D Common Stock 81687 0 I By Avista Capital investment fund Series D Convertible Preferred Stock 2017-10-17 4 C 0 216189 0.00 D Common Stock 624332 0 I By Avista Capital investment fund Series D Convertible Preferred Stock 2017-10-17 4 C 0 216189 0.00 D Common Stock 205023 0 I By Avista Capital investment fund Series D Convertible Preferred Stock 2017-10-17 4 C 0 17233 0.00 D Common Stock 49767 0 I By Avista Capital investment fund Represents shares of the Issuer received by Avista Capital Partners II, L.P. ("ACP II") upon the conversion of Series C Convertible Preferred Stock, Series C-1 Convertible Preferred Stock, Series C-2 Convertible Preferred Stock and Series D Convertible Preferred Stock upon the closing of the Issuer's initial public offering. Represents shares of the Issuer received by Avista Capital Partners (Offshore) II, L.P. ("ACP II Offshore") upon the conversion of Series C Convertible Preferred Stock, Series C-1 Convertible Preferred Stock, Series C-2 Convertible Preferred Stock and Series D Convertible Preferred Stock upon the closing of the Issuer's initial public offering. Represents shares of the Issuer received by Avista Capital Partners (Offshore) II-A, LP ("ACP II-A Offshore") upon the conversion of Series C Convertible Preferred Stock, Series C-1 Convertible Preferred Stock, Series C-2 Convertible Preferred Stock and Series D Convertible Preferred Stock upon the closing of the Issuer's initial public offering. Represents shares of the Issuer held by ACP II. Avista Capital Partners II GP, LLC ("ACP II GP") is the general partner of ACP II. As a result, ACP II GP may be deemed to share voting and investment power with respect to the shares held by ACP II. Each of ACP II and ACP II GP disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein, and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. Represents shares of the Issuer held by ACP II Offshore. ACP II GP is the general partner of ACP II Offshore. Mr. Venkataraman is a member of the investment committee of ACP II GP. As a result, ACP II GP may be deemed to share voting and investment power with respect to the shares held by ACP II Offshore. Each of ACP II Offshore and ACP II GP disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein, and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. Represents shares of the Issuer held by ACP II-A Offshore. ACP II GP is the general partner of ACP II-A Offshore. Mr. Venkataraman is a member of the investment committee of ACP II GP. As a result, ACP II GP may be deemed to share voting and investment power with respect to the shares held by ACP II-A Offshore. Each of ACP II-A Offshore and ACP II GP disclaims beneficial ownership of such shares, except to the extent of its pecuniary interest therein, and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. Each share of Series C Convertible Preferred Stock, Series C-1 Convertible Preferred Stock, Series C-2 Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into Common Stock on a 1-for-2.8879 basis upon the closing of the Issuer's initial public offering without payment of consideration. The Series C Convertible Preferred Stock, Series C-1 Convertible Preferred Stock, Series C-2 Convertible Preferred Stock and Series D Convertible Preferred Stock were convertible at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering and had no expiration date. AVISTA CAPITAL PARTNERS II GP, LLC, by: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2017-10-19 AVISTA CAPITAL PARTNERS II, LP, by Avista Capital Partners II GP, LLC, its General Partner, by: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2017-10-19 AVISTA CAPITAL PARTNERS (OFFSHORE) II, LP, by Avista Capital Partners II GP, LLC, its General Partner, by: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2017-10-19 AVISTA CAPITAL PARTNERS (OFFSHORE) II-A, LP, by Avista Capital Partners II GP, LLC, its General Partner, by: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2017-10-19