X0306 4/A 2018-11-16 2020-01-24 0 0001253176 VAPOTHERM INC VAPO 0001752890 Walrod Nicholas T. C/O VAPOTHERM INVESTORS, LLC 2540 NE MARTIN LUTHER KING JR. BLVD. PORTLAND OR 97212 0 0 1 0 Common Stock 2018-11-16 4 C 0 2042595 A 2042595 I By Vapotherm Investors, LLC Common Stock 2018-11-16 4 C 0 208752 A 2251347 I By Vapotherm Investors, LLC Common Stock 2018-11-16 4 C 0 1049958 A 1049958 I By 3x5 Special Opportunity Fund, L.P. Series A Convertible Preferred Stock 2018-11-16 4 C 0 227600 0.00 D Common Stock 227600 0 I By Vapotherm Investors, LLC Series B Convertible Preferred Stock 2018-11-16 4 C 0 75700 0.00 D Common Stock 75700 0 I By Vapotherm Investors, LLC Series C Convertible Preferred Stock 2018-11-16 4 C 0 849239 0.00 D Common Stock 849239 0 I By Vapotherm Investors, LLC Series D Convertible Preferred Stock 2018-11-16 4 C 0 890056 0.00 D Common Stock 890056 0 I By Vapotherm Investors, LLC Series D-1 Convertible Preferred Stock 2018-11-16 4 C 0 208752 0.00 D Common Stock 208752 0 I By Vapotherm Investors, LLC Warrant to purchase Series A Convertible Preferred Stock 14.48 2018-11-16 4 J 0 42857 0.00 D 2018-11-16 2022-09-07 Common Stock 42857 42857 I By Vapotherm Investors, LLC Series A Convertible Preferred Stock 2018-11-16 4 C 0 500000 0.00 D Common Stock 500000 0 I By 3x5 Special Opportunity Fund, L.P. Series B Convertible Preferred Stock 2018-11-16 4 C 0 285714 0.00 D Common Stock 285714 0 I By 3x5 Special Opportunity Fund, L.P. Series C Convertible Preferred Stock 2018-11-16 4 C 0 264244 0.00 D Common Stock 264244 0 I By 3x5 Special Opportunity Fund, L.P. Upon closing of the Issuer's initial public offering, share of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into one share of Common Stock without payment or further consideration. There was no expiration date for the Series A Convertible Preferred Stock, the Series B Convertible Preferred Stock, the Series C Convertible Preferred Stock or the Series D Convertible Preferred Stock. Upon closing of the Issuer's initial public offering, each share of Series D-1 Convertible Preferred Stock automatically converted into 1.137 shares of Common Stock without payment or further consideration. There was no expiration date for the Series D-1 Convertible Preferred Stock. The Reporting Person is a managing member of 3x5 Partners, LLC. 3x5 Partners, LLC is the managing member of Vapotherm Investors, LLC and a member of 3x5 Special Opportunity Partners, LLC, which is the general partner of 3x5 Special Opportunity Fund, L.P., and by virtue of these relationships 3x5 Partners, LLC may be deemed to indirectly beneficially own the shares directly held by Vapotherm Investors, LLC and 3x5 Special Opportunity Partners, L.P. As a managing member of 3x5 Partners, LLC the Reporting Person shares voting and dispositive power over such 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 securities except to the extent of his pecuniary interest therein. Immediately prior to the closing of the Issuer's initial public offering, each outstanding Warrant to Purchase Series A Convertible Preferred Stock automatically converted into a Warrant to Purchase Common Stock. /s/ Anthony Ten Haagen, as Attorney-In-Fact 2020-03-26