0001437749-14-017899.txt : 20141002
0001437749-14-017899.hdr.sgml : 20141002
20141002192824
ACCESSION NUMBER: 0001437749-14-017899
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140923
FILED AS OF DATE: 20141002
DATE AS OF CHANGE: 20141002
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VIVEVE MEDICAL, INC.
CENTRAL INDEX KEY: 0000879682
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 043153858
STATE OF INCORPORATION: B0
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 150 COMMERCIAL STREET
CITY: SUNNYVALE
STATE: CA
ZIP: 94086
BUSINESS PHONE: 4085301900
MAIL ADDRESS:
STREET 1: 150 COMMERCIAL STREET
CITY: SUNNYVALE
STATE: CA
ZIP: 94086
FORMER COMPANY:
FORMER CONFORMED NAME: PLC SYSTEMS INC
DATE OF NAME CHANGE: 19930328
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GBS Bioventures III A/C
CENTRAL INDEX KEY: 0001542844
STATE OF INCORPORATION: C3
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11388
FILM NUMBER: 141138064
BUSINESS ADDRESS:
STREET 1: LEVEL 5
STREET 2: 71 COLLINS ST
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
BUSINESS PHONE: 61386509921
MAIL ADDRESS:
STREET 1: LEVEL 5
STREET 2: 71 COLLINS ST
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GBS Venture Partners Pty, Ltd
CENTRAL INDEX KEY: 0001542845
STATE OF INCORPORATION: C3
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11388
FILM NUMBER: 141138065
BUSINESS ADDRESS:
STREET 1: LEVEL 5
STREET 2: 71 COLLINS ST
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
BUSINESS PHONE: 61386509921
MAIL ADDRESS:
STREET 1: LEVEL 5
STREET 2: 71 COLLINS ST
CITY: MELBOURNE
STATE: C3
ZIP: VIC 3000
3
1
rdgdoc.xml
FORM 3
X0206
3
2014-09-23
0
0000879682
VIVEVE MEDICAL, INC.
PLCSD
0001542845
GBS Venture Partners Pty, Ltd
LEVEL 5
71 COLLINS STREET
MELBOURNE
C3
VIC 3000
AUSTRALIA
1
0001542844
GBS Bioventures III A/C
LEVEL 5
71 COLLINS STREET
MELBOURNE
C3
VIC 3000
AUSTRALIA
1
Common Stock
2650935
I
See footnotes
Common Stock
2650935
D
Directly beneficially owned by GBS BioVentures III.
GBS Venture Partners Limited is trustee for GBS BioVentures III and may be deemed to have sole voting and investment power over the shares beneficially owned by GBS BioVentures III. GBS Venture Partners Limited disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
Amount includes (a) 1,707,339 shares issued pursuant to the merger by and among the Issuer, Viveve, Inc. and PLC Systems Acquisition Corporation, completed on 9/23/2014 (the "Closing"), and (b) 943,596 shares of common stock issued upon the automatic exercise of a warrant at the Closing.
/s/ Brigitte Smith as Managing Partner of GBS Venture Partners Limited
2014-10-02
/s/ Brigitte Smith as Managing Partner of GBS Venture Partners Limited, a Trustee of GBS BioVentures III
2014-10-02