0001437749-16-036475.txt : 20160804
0001437749-16-036475.hdr.sgml : 20160804
20160804163048
ACCESSION NUMBER: 0001437749-16-036475
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160802
FILED AS OF DATE: 20160804
DATE AS OF CHANGE: 20160804
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TACTILE SYSTEMS TECHNOLOGY INC
CENTRAL INDEX KEY: 0001027838
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1331 TYLER STREET NE STE 200
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55413
BUSINESS PHONE: 866-435-3948
MAIL ADDRESS:
STREET 1: 1331 TYLER STREET NE STE 200
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55413
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Davis Jordan
CENTRAL INDEX KEY: 0001328592
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807911
MAIL ADDRESS:
STREET 1: C/O AMERICAN BANK NOTE HOLOGRAPHICS, INC
STREET 2: 399 EXECUTIVE BOULEVARD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-08-02
0001027838
TACTILE SYSTEMS TECHNOLOGY INC
TCMD
0001328592
Davis Jordan
1331 TYLER STREET NE, SUITE 200
MINNEAPOLIS
MN
55413
1
Common Stock
2016-08-02
4
C
0
150767
A
150767
I
By Radius Venture Partners III LP
Common Stock
2016-08-02
4
C
0
206478
A
206478
I
By Radius Venture Partners III (Ohio), LP
Common Stock
2016-08-02
4
C
0
1644046
A
1644046
I
By Radius Venture Partners III QP, L.P.
Common Stock
5000
D
Series B Preferred Stock
2016-08-02
4
C
0
87123
D
Common Stock
87123
0
I
By Radius Venture Partners III LP
Series B Preferred Stock
2016-08-02
4
C
0
119316
D
Common Stock
119316
0
I
By Radius Venture Partners III (Ohio), LP
Series B Preferred Stock
2016-08-02
4
C
0
950027
D
Common Stock
950027
0
I
By Radius Venture Partners III QP, L.P.
Each share of Series B Preferred Stock was convertible at any time at the option of the holder, and converted automatically into shares of the Issuer's Common Stock on a one-for one basis in connection with the closing of the Issuer's initial public offering. In addition, the holder was entitled to receive additional shares of common stock equal to the original purchase price per share ($3.8048) divided by the price to the public of the shares of common stock issued in the Issuer's initial public offering and these shares accrued a dividend that was payable-in-kind in shares of the Issuer's common stock.
The securities did not have an expiration date. The securities converted automatically into shares of the Issuer's Common Stock on a one-for-one basis in connection with the closing of the Issuer's initial public offering.
These securities are held directly by Radius Venture Partners III, L.P. and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III, L.P., Jordan S. Davis, a director of Issuer, and managing member of Radius Venture Partners III, LLC and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Each of Radius Venture Partners III, LLC, Mr. Davis and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
These securities are held directly by Radius Venture Partners III (Ohio), L.P. and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III (Ohio), L.P., Jordan S. Davis, a director of Issuer, and managing member of Radius Venture Partners III, LLC and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Each of Radius Venture Partners III, LLC, Mr. Davis and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
These securities are held directly by Radius Venture Partners III QP, L.P. and indirectly by Radius Venture Partners III, LLC, the general partner of Radius Venture Partners III QP, L.P., Jordan S. Davis, a director of Issuer and managing member of Radius Venture Partners III, LLC, and Daniel C. Lubin, managing member of Radius Venture Partners III, LLC. Each of Radius Venture Partners III, LLC, Mr. Davis and Mr. Lubin may be deemed to beneficially own such securities, and disclaims such beneficial ownership except to the extent of its or his pecuniary interest therein.
/s/ Jonathan R. Zimmerman, Attorney-in-Fact for Jordan S. Davis
2016-08-04