0000899243-20-029067.txt : 20201022
0000899243-20-029067.hdr.sgml : 20201022
20201022184728
ACCESSION NUMBER: 0000899243-20-029067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201020
FILED AS OF DATE: 20201022
DATE AS OF CHANGE: 20201022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Laponis Adam
CENTRAL INDEX KEY: 0001827198
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39616
FILM NUMBER: 201255699
MAIL ADDRESS:
STREET 1: C/O EARGO, INC.
STREET 2: 1600 TECHNOLOGY DRIVE, 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Eargo, Inc.
CENTRAL INDEX KEY: 0001719395
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 273879804
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
BUSINESS PHONE: 650-351-7700
MAIL ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-10-20
0
0001719395
Eargo, Inc.
EAR
0001827198
Laponis Adam
C/O EARGO, INC.
1600 TECHNOLOGY DRIVE, 6TH FLOOR
SAN JOSE
CA
95110
0
1
0
0
Chief Financial Officer
Common Stock
2020-10-20
4
C
0
11097
A
44430
D
Series E Preferred Stock
2020-10-20
4
C
0
11097
0.00
D
Common Stock
11097
0
D
The Series E Preferred Stock automatically converted into shares of Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.
/s/ Christy La Pierre, Attorney-in-Fact for Adam Laponis
2020-10-22