SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PTV SCIENCES II L P

(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY
SUITE B180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Intersect ENT, Inc. [ XENT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/19/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/19/2015 J(1) 644,242 D $0.00 1,932,724 I By PTV Sciences II, L.P.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
PTV SCIENCES II L P

(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY
SUITE B180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Pinto Technology Ventures GP II, L.P.

(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY
SUITE B180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Pinto TV GP CO LLC

(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY
SUITE B180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Crawford Matthew S

(Last) (First) (Middle)
3600 N CAPITAL OF TEXAS HWY
SUITE B180

(Street)
AUSTIN TX 78746

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Represents a pro-rata in-kind distribution by PTV Sciences II, L.P. ("PTV II") without consideration to its limited partners.
2. These shares are held by PTV II. Pinto Technology Ventures GP II, L.P. ("PTV GP II") is the sole General Partner of PTV II. Pinto TV GP Company LLC ("PTV Co.") is the sole General Partner of PTV GP II. Each of Matthew Crawford and Rick Anderson is a Manager of PTV Co. Each of PTV GP II, PTV Co., Messrs. Crawford and Anderson may be deemed to have beneficial ownership of the shares held by PTV II. Each reporting person disclaims beneficial ownership of the shares reported herein, except to the extent of its or his pecuniary interest therein. Mr. Anderson was a director of the Issuer and, accordingly, files separate Section 16 reports.
Remarks:
/s/ Matthew S. Crawford, who serves as a Manager of Pinto TV GP Company LLC, which serves as the sole General Partner of Pinto Technology Ventures GP II, L.P., which serves as the sole General Partner of PTV Sciences II, L.P. 01/20/2015
/s/ Matthew S. Crawford, who serves as a Manager of Pinto TV GP Company LLC, which serves as the sole General Partner of Pinto Technology Ventures GP II, L.P., which serves as the sole General Partner of PTV Sciences II, L.P. 01/20/2015
/s/ Matthew S. Crawford, who serves as a Manager of Pinto TV GP Company LLC, which serves as the sole General Partner of Pinto Technology Ventures GP II, L.P., which serves as the sole General Partner of PTV Sciences II, L.P. 01/20/2015
/s/ Matthew S. Crawford 01/20/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.