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