0000904454-18-000335.txt : 20180507 0000904454-18-000335.hdr.sgml : 20180507 20180507165009 ACCESSION NUMBER: 0000904454-18-000335 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180507 FILED AS OF DATE: 20180507 DATE AS OF CHANGE: 20180507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson & Johnson Innovation - JJDC, Inc. CENTRAL INDEX KEY: 0000924020 STATE OF INCORPORATION: NJ FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 18811876 BUSINESS ADDRESS: STREET 1: 410 GEORGE STREET CITY: NEW BRUNSWICK STATE: NJ ZIP: 08901 BUSINESS PHONE: (732) 524-3218 MAIL ADDRESS: STREET 1: 410 GEORGE STREET CITY: NEW BRUNSWICK STATE: NJ ZIP: 08901 FORMER NAME: FORMER CONFORMED NAME: JOHNSON & JOHNSON DEVELOPMENT CORP ET AL DATE OF NAME CHANGE: 19940526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON & JOHNSON CENTRAL INDEX KEY: 0000200406 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] STATE OF INCORPORATION: NJ FISCAL YEAR END: 0101 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 18811875 BUSINESS ADDRESS: STREET 1: ONE JOHNSON & JOHNSON PLZ CITY: NEW BRUNSWICK STATE: NJ ZIP: 08933 BUSINESS PHONE: 732-524-2455 MAIL ADDRESS: STREET 1: ONE JOHNSON & JOHNSON PLZ CITY: NEW BRUNSWICK STATE: NJ ZIP: 08933 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inspire Medical Systems, Inc. CENTRAL INDEX KEY: 0001609550 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 261377674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9700 63RD AVENUE N STREET 2: SUITE 200 CITY: MAPLE GROVE STATE: X1 ZIP: 55369 BUSINESS PHONE: 763-205-7970 MAIL ADDRESS: STREET 1: 9700 63RD AVENUE N STREET 2: SUITE 200 CITY: MAPLE GROVE STATE: X1 ZIP: 55369 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2018-05-07 1 0001609550 Inspire Medical Systems, Inc. INSP 0000200406 JOHNSON & JOHNSON ONE JOHNSON & JOHNSON PLAZA NEW BRUNSWICK NJ 08933 0 0 1 0 0000924020 Johnson & Johnson Innovation - JJDC, Inc. 410 GEORGE STREET NEW BRUNSWICK NJ 08901 0 0 1 0 Common Stock 2018-05-07 4 C 0 197863 A 197863 I By Johnson & Johnson Innovation - JJDC, Inc. Common Stock 2018-05-07 4 C 0 37388 A 235251 I By Johnson & Johnson Innovation - JJDC, Inc. Series E Preferred Stock 2018-05-07 4 C 0 1145038 0 D Common Stock 197863 0 I By Johnson & Johnson Innovation - JJDC, Inc. Series F Preferred Stock 2018-05-07 4 C 0 248631 0 D Common Stock 37388 0 I By Johnson & Johnson Innovation - JJDC, Inc. Shares of Series E and Series F Convertible Preferred Stock have no expiration date and were automatically converted into shares of Common Stock for no additional consideration immediately prior to the closing of the Issuer's initial public offering. Shares of Series E Convertible Preferred Stock converted into shares of Common Stock at a 1-for-0.1728 conversion rate. Shares of Series F Convertible Preferred Stock converted into shares of Common Stock at a 1-for-0.1504 conversion rate. The securities reported as being indirectly beneficially owned by the designated Reporting Person are directly beneficially owned by Johnson & Johnson Innovation - JJDC, Inc., a wholly-owned subsidiary of the designated Reporting Person. Thomas Spellman III, Secretary of Johnson & Johnson 2018-05-07 Kevin Norman, Assistant Secretary of Johnson & Johnson Innovation - JJDC, Inc. 2018-05-07