X0206 3 2018-11-13 0 0001253176 VAPOTHERM INC VAPO 0001752635 Arnerich Anthony L. C/O VAPOTHERM INVESTORS, LLC 2540 NE MARTIN LUTHER KING JR. BLVD. PORTLAND OR 97212 1 0 0 0 Series A Convertible Preferred Stock Common Stock 500000 I See Footnote Series A Convertible Preferred Stock Common Stock 227600 I See Footnote Series B Convertible Preferred Stock Common Stock 285714 I See Footnote Series B Convertible Preferred Stock Common Stock 75700 I See Footnote Series C Convertible Preferred Stock Common Stock 264244 I See Footnote Series C Convertible Preferred Stock Common Stock 849239 I See Footnote Series D Convertible Preferred Stock Common Stock 1073655 I See Footnote Warrant to purchase Series A Convertible Preferred Stock Series A Convertible Preferred Stock 42857 I See Footnote Series A Convertible Preferred Stock is convertible into shares of common stock at any time at the holder's election and automatically upon the consummation of a qualified public offering of the registrant. There is no expiration date for the Series A Convertible Preferred Stock. Series B Convertible Preferred Stock is convertible into shares of common stock at any time at the holder's election and automatically upon the consummation of a qualified public offering of the registrant. There is no expiration date for Series B Convertible Preferred Stock. Series C Convertible Preferred Stock is convertible into shares of common stock at any time at the holder's election and automatically upon the consummation of a qualified public offering of the registrant. There is no expiration date for the Series C Convertible Preferred Stock. Series D Convertible Preferred Stock is convertible into shares of common stock at any time at the holder's election and automatically upon the consummation of a qualified public offering of the registrant. There is no expiration date for Series D Convertible Preferred Stock. The warrants to purchase Series A Convertible Preferred Stock are exercisable at any time at the holder's election, and have an expiration date of September 7, 2022. The Reporting Person is a member and manager of Arnerich 3x5 Special Opportunity Managers, LLC. Arnerich 3x5 Special Opportunity Managers, LLC is the member of 3x5 Special Opportunity Partners, LLC. 3x5 Special Opportunity Partners, LLC is the general partner of 3x5 Special Opportunity Fund, L.P., the direct beneficial owner of these securities. The Reporting Person disclaims beneficial ownership, within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of these securities in which the Reporting Person has no pecuniary interest. The Reporting Person is a managing member of 3x5 Partners, LLC. 3x5 Partners, LLC is the managing member of Vapotherm Investors, LLC, the direct beneficial owner of these securities. The Reporting Person disclaims beneficial ownership, within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of these securities in which the Reporting Person has no pecuniary interest. Exhibit List Exhibit 24 - Power of Attorney /s/ John Landry, as Attorney-In-Fact 2018-11-13