-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ffamb/q+RXi4gtrkVhacNuQqqSDGwxtw8bLD+OtHhs4j3WzMY75rftQvgfPztA8V KT4oGgAvFNk4CsnUyi6lKg== 0001181431-07-070727.txt : 20071120 0001181431-07-070727.hdr.sgml : 20071120 20071120114114 ACCESSION NUMBER: 0001181431-07-070727 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071120 FILED AS OF DATE: 20071120 DATE AS OF CHANGE: 20071120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EnteroMedics Inc CENTRAL INDEX KEY: 0001371217 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 MAIL ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARRISON DONALD C CENTRAL INDEX KEY: 0001106510 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33818 FILM NUMBER: 071258832 BUSINESS ADDRESS: STREET 1: UNIVERSITY OF CINCINNATI MEDICAL CENTER STREET 2: 250 HEALTH PROFESSIONS BUILDING CITY: CINCINNATI STATE: OH ZIP: 45267-0663 BUSINESS PHONE: 5135586052 4 1 rrd178266.xml HARRISON FORM 4 CONVERSION X0202 4 2007-11-20 0 0001371217 EnteroMedics Inc ETRM 0001106510 HARRISON DONALD C 2800 PATTON ROAD ST. PAUL MN 55113 1 0 0 0 Common Stock 2007-11-20 4 C 0 7025 A 17327 D Common Stock 2007-11-20 4 C 0 622544 A 712544 I Charter Life Sciences, L.P. Series B Convertible Preferred Stock 2007-11-20 4 C 0 5126 0 D Common Stock 5126 0 D Series C Convertible Preferred Stock 2007-11-20 4 C 0 1899 0 D Common Stcok 1899 0 D Warrants (right to buy) 0.4333 2010-11-13 Common Stock 1015 1015 D Series B Convertible Preferred Stock 2007-11-20 4 C 0 380418 0 D Common Stock 380418 0 I Charter Life Sciences, L.P. Series C Convertible Preferred Stock 2007-11-20 4 C 0 242126 0 D Common Stock 242126 0 I Charter Life Sciences, L.P. Warrants (right to buy) 0.46 2010-12-12 Common Stock 16484 18464 I Charter Life Sciences, L.P. The convertible preferred stock automatically converted one-to-one into common stock upon completion of the initial public offering. Immediately exercisable. The reporting person is managing partner of Charter Life Sciences, L.P. The reporting person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. /s/ Mark B. Knudson, Attorney-in-Fact 2007-11-20 -----END PRIVACY-ENHANCED MESSAGE-----