0000899243-19-028170.txt : 20191126 0000899243-19-028170.hdr.sgml : 20191126 20191126173657 ACCESSION NUMBER: 0000899243-19-028170 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191125 FILED AS OF DATE: 20191126 DATE AS OF CHANGE: 20191126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Venkataraman Sriram CENTRAL INDEX KEY: 0001550642 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38241 FILM NUMBER: 191252341 MAIL ADDRESS: STREET 1: C/O AVISTA CAPITAL PARTNERS STREET 2: 65 EAST 55TH STREET, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OptiNose, Inc. CENTRAL INDEX KEY: 0001494650 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 421771610 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1020 STONY HILL ROAD STREET 2: SUITE 300 CITY: YARDLEY STATE: PA ZIP: 19067 BUSINESS PHONE: 267-364-3500 MAIL ADDRESS: STREET 1: 1020 STONY HILL ROAD STREET 2: SUITE 300 CITY: YARDLEY STATE: PA ZIP: 19067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-11-25 0 0001494650 OptiNose, Inc. OPTN 0001550642 Venkataraman Sriram C/O AVISTA CAPITAL HOLDINGS, L.P. 65 E. 55TH STREET, 18TH FLOOR NEW YORK NY 10022 1 0 1 0 Common Stock 2019-11-25 4 S 0 887722 9.165 D 10136374 I See footnote Common Stock 2019-11-25 4 S 0 291516 9.165 D 3328648 I See footnote Common Stock 2019-11-25 4 S 0 70762 9.165 D 807995 I See footnote Represents shares of the Issuer held by Avista Capital Partners II, L.P. ("ACP II"). Avista Capital Partners II GP, LLC ("ACP II GP") is the general partner of ACP II. Mr. Venkataraman is a member of the investment committee of ACP II GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share beneficial ownership of the shares of common stock held by ACP II. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein. Represents shares of the Issuer held by Avista Capital Partners (Offshore) II, L.P. ("ACP Offshore II"). ACP II GP is the general partner of ACP Offshore II. Mr. Venkataraman is a member of the investment committee of ACP II GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share beneficial ownership of the shares of common stock held by ACP Offshore II. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein. Represents shares of the Issuer held by Avista Capital Partners (Offshore) II-A, L.P. ("ACP Offshore II-A"). ACP II GP is the general partner of ACP Offshore II-A. Mr. Venkataraman is a member of the investment committee of ACP II GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share beneficial ownership of the shares of common stock held by ACP Offshore II-A. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein. /s/ Sriram Venkataraman 2019-11-26