0001527715-20-000024.txt : 20201119 0001527715-20-000024.hdr.sgml : 20201119 20201119211239 ACCESSION NUMBER: 0001527715-20-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201117 FILED AS OF DATE: 20201119 DATE AS OF CHANGE: 20201119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tansey Casey M CENTRAL INDEX KEY: 0001474322 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330316 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Matteucci Paul A CENTRAL INDEX KEY: 0001370817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330317 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Richard W. CENTRAL INDEX KEY: 0001534399 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330318 MAIL ADDRESS: STREET 1: US VENTURE PARTNERS STREET 2: 2735 SAND HILL ROAD CITY: MELO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KRAUSZ STEVEN M CENTRAL INDEX KEY: 0001190636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330319 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FEDERMAN IRWIN CENTRAL INDEX KEY: 0001192391 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330320 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: USVP X AFFILIATES LP CENTRAL INDEX KEY: 0001453359 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330321 BUSINESS ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9080 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: US VENTURE PARTNERS X LP CENTRAL INDEX KEY: 0001440514 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330322 BUSINESS ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9080 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Presidio Management Group X LLC CENTRAL INDEX KEY: 0001602744 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 201330323 BUSINESS ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-854-9080 MAIL ADDRESS: STREET 1: 2735 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inari Medical, Inc. CENTRAL INDEX KEY: 0001531048 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 452902923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9 PARKER, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-923-4747 MAIL ADDRESS: STREET 1: 9 PARKER, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: Inceptus Newco1 Inc. DATE OF NAME CHANGE: 20110923 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2020-11-17 0001531048 Inari Medical, Inc. NARI 0001602744 Presidio Management Group X LLC 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001440514 US VENTURE PARTNERS X LP 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001453359 USVP X AFFILIATES LP 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001192391 FEDERMAN IRWIN 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001190636 KRAUSZ STEVEN M 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001534399 Lewis Richard W. 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001370817 Matteucci Paul A 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 0001474322 Tansey Casey M 1460 EL CAMINO REAL, SUITE 100 MENLO PARK CA 94025 0 0 1 0 Common Stock 2020-11-17 4 J 0 2245605 D 5239744 I Directly owned by USVP X Common Stock 2020-11-17 4 J 0 71840 D 167627 I Directly owned by AFF X Common Stock 2020-11-17 4 J 0 587851 A 587851 I Directly owned by PMG X Common Stock 2020-11-17 4 J 0 587851 D 0 I Directly owned by PMG X Common Stock 2020-11-17 4 J 0 37268 A 37268 I Directly owned by Federman Common Stock 2020-11-17 4 J 0 60883 A 60883 I Directly owned by Lewis Common Stock 2020-11-18 4 S 0 20000 66.38 D 40883 I Directly owned by Lewis Common Stock 2020-11-17 4 J 0 56173 A 56173 I Directly held by family trust controlled by Matteucci Common Stock 2020-11-17 4 J 0 67730 A 67730 I Directly owned by Tansey Common Stock 2020-11-17 4 J 0 11794 A 11794 I Directly held by family trust controlled by Krausz Common Stock 2020-11-17 4 J 0 34576 A 34576 I Directly held by Krausz childrens trusts Common Stock 2020-11-17 4 J 0 34576 A 34576 I Directly held by Krausz childrens trusts Represents a pro-rata in-kind distribution of the Issuer's common stock, and not a purchase or sale, without additional consideration to their respective partners, members and assignees, as applicable. Represents a pro-rata in-kind distribution of the Issuer's common stock held directly by each of U.S. Venture Partners X, L.P. ("USVP") and USVP X Affiliates Fund , L.P. ("AFF X" and, together with USVP X, the "USVP Funds", and may be deemed to have sole voting and dispositive power over the securities held by the USVP Funds. Jonathan Root, a director of the Issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci, and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by the USVP X Funds, and disclaim beneficial ownership of such securities, except to the extent of any pecuniary interest therein. Represents a pro-rata in-kind distribution of the Issuer's common stock to PMG X from each of the USVP Funds, without additional consideration. Jonathan Root, a director of the Issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci, and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by PMG X, and disclaim beneficial ownership of such securities, except to the extent of any pecuniary interest therein. Represents a pro-rata in-kind distribution of the Issuer's common stock held directly by PMG X, without additional consideration, to its members (the "PMG X Distribution"). Jonathan Root, a director of the Issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci, and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by PMG X, and disclaim beneficial ownership of such securities, except to the extent of any pecuniary interest therein. Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the PMG X Distribution. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $65.52 to $67.32, inclusive for sales on 11/18/2020. The reporting persons undertake to provide the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4. Held by affiliated trusts for the benefit of Krausz children. Dale Holladay -Attorney in Fact for each Reporting Person 2020-11-19