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