0001571049-16-017110.txt : 20160804
0001571049-16-017110.hdr.sgml : 20160804
20160804160321
ACCESSION NUMBER: 0001571049-16-017110
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
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: LUBIN DANIEL C
CENTRAL INDEX KEY: 0001335280
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807324
MAIL ADDRESS:
STREET 1: RADIUS VENTURE PARTNERS II LLC
STREET 2: 400 MADISON AVE 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
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: 161807325
MAIL ADDRESS:
STREET 1: C/O AMERICAN BANK NOTE HOLOGRAPHICS, INC
STREET 2: 399 EXECUTIVE BOULEVARD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Radius Venture Partners III (OHIO), LP
CENTRAL INDEX KEY: 0001654645
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807326
BUSINESS ADDRESS:
STREET 1: 400 MADISON AVE.
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
BUSINESS PHONE: 6123555202
MAIL ADDRESS:
STREET 1: 1331 TYLER STREET NE
STREET 2: SUITE 200
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55413
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RADIUS VENTURE PARTNERS III L P
CENTRAL INDEX KEY: 0001386468
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807328
BUSINESS ADDRESS:
STREET 1: 400 MADISON AVE 8TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10017
BUSINESS PHONE: 212-897-7778
MAIL ADDRESS:
STREET 1: 400 MADISON AVE 8TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Radius Venture Partners III, LLC
CENTRAL INDEX KEY: 0001402970
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807329
BUSINESS ADDRESS:
STREET 1: 400 MADISON AVENUE
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
BUSINESS PHONE: 212-897-7778
MAIL ADDRESS:
STREET 1: 400 MADISON AVENUE
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Radius Venture Partners III QP, L.P.
CENTRAL INDEX KEY: 0001402778
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37799
FILM NUMBER: 161807327
BUSINESS ADDRESS:
STREET 1: 400 MADISON AVENUE
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
BUSINESS PHONE: 212-897-7778
MAIL ADDRESS:
STREET 1: 400 MADISON AVENUE
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
t1601927_f4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-08-02
0
0001027838
TACTILE SYSTEMS TECHNOLOGY INC
TCMD
0001402970
Radius Venture Partners III, LLC
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
0001386468
RADIUS VENTURE PARTNERS III L P
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
0001402778
Radius Venture Partners III QP, L.P.
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
0001654645
Radius Venture Partners III (OHIO), LP
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
0001328592
Davis Jordan
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
0001335280
LUBIN DANIEL C
250 PARK AVENUE, SUITE 1102
NEW YORK
NY
10177
0
0
1
0
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
1644046
A
1644046
I
By Radius Venture Partners III QP, LP
Common Stock
2016-08-02
4
C
0
206478
A
206478
I
By Radius Venture Partners III (Ohio) LP
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
950027
D
Common Stock
950027
0
I
By Radius Venture Partners III QP, 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
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 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.
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.
Represents 5,000 restricted stock units granted to Jordan Davis, a director of Issuer, subject to vesting in full on the earlier of (a) July 27, 2017 or (b) immediately prior to the next annual meeting of stockholders following July 27, 2016, subject to his continued service as a director as of such date. The restricted stock units may only be settled in shares of common stock on a one-for-one basis.
/s/ Jordan Davis and Daniel Lubin, each, individually, and as Managing Member of Radius Venture Partners III, LLC
2016-08-04