0001615774-16-004021.txt : 20160128
0001615774-16-004021.hdr.sgml : 20160128
20160128110930
ACCESSION NUMBER: 0001615774-16-004021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160126
FILED AS OF DATE: 20160128
DATE AS OF CHANGE: 20160128
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: InspireMD, Inc.
CENTRAL INDEX KEY: 0001433607
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 262123838
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 321 COLUMBUS AVENUE
CITY: BOSTON
STATE: MA
ZIP: 02116
BUSINESS PHONE: (857) 453-6553
MAIL ADDRESS:
STREET 1: 321 COLUMBUS AVENUE
CITY: BOSTON
STATE: MA
ZIP: 02116
FORMER COMPANY:
FORMER CONFORMED NAME: Saguaro Resources, Inc.
DATE OF NAME CHANGE: 20080428
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BERMAN MICHAEL
CENTRAL INDEX KEY: 0001186801
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35731
FILM NUMBER: 161367262
MAIL ADDRESS:
STREET 1: 735 PALAMAR AVENUE
CITY: SUNNYVALE
STATE: CA
ZIP: 94085
4
1
s102560_form4-berman.xml
OWNERSHIP DOCUMENT
X0306
4
2016-01-26
0
0001433607
InspireMD, Inc.
NSPR
0001186801
BERMAN MICHAEL
C/O INSPIREMD, INC.
321 COLUMBUS AVENUE
BOSTON
MA
02116
1
0
0
0
Common Stock
2016-01-26
4
A
0
1
0
A
3001
D
Options (right to buy)
34.00
2016-01-26
4
D
0
12442
0
A
2023-02-07
Common Stock
12442
0
D
Options (right to buy)
31.00
2016-01-26
4
D
0
5000
0
A
2024-01-29
Common Stock
5000
0
D
Options (right to buy)
7.80
2016-01-26
4
D
0
3805
0
A
2015-01-05
2025-01-05
Common Stock
3805
0
D
Options (right to buy)
7.20
2016-01-26
4
D
0
5409
0
A
2025-01-26
Common Stock
5409
0
D
On January 26, 2016, the Issuer and the Reporting Person entered into that certain Option Cancellation and Release Agreement, pursuant to which the parties agreed to the cancellation of certain stock options previously granted to the Reporting Person in exchange for one (1) share of common stock as consideration.
Reflects a 1-for-10 reverse stock split effected October 1, 2015.
This option was previously reported as covering 124,415 shares at an exercise price of $3.40 per share, but was adjusted to reflect the 1-for-10 reverse stock split that occurred on October 1, 2015.
This option is exercisable in three equal annual installments. The first installment became exercisable on February 7, 2014, the second installment became exercisable on February 7, 2015 and the third installment would have become exercisable on February 7, 2016.
This option was previously reported as covering 50,000 shares at an exercise price of $3.10 per share, but was adjusted to reflect the 1-for-10 reverse stock split that occurred on October 1, 2015.
This option is exercisable in three equal annual installments. The first installment became exercisable on January 29, 2015, the second installment would have become exercisable on January 29, 2016 and the third installment would have become exercisable on January 29, 2017, provided that the Reporting Person is providing services to the Issuer or its subsidiaries or affiliates on January 29, 2016, and January 29, 2017, as applicable.
This option was previously reported as covering 38,045 shares at an exercise price of $0.78 per share, but was adjusted to reflect the 1-for-10 reverse stock split that occurred on October 1, 2015.
This option was previously reported as covering 54,088 shares at an exercise price of $0.72 per share, but was adjusted to reflect the 1-for-10 reverse stock split that occurred on October 1, 2015.
This option would have vested in three equal annual installments, with 1/3 becoming exercisable on each of January 26, 2016, January 26, 2017 and January 26, 2018, subject the Reporting Person's continued service.
/s/ Michael Berman
2016-01-28