0000899243-19-022280.txt : 20190822
0000899243-19-022280.hdr.sgml : 20190822
20190822135819
ACCESSION NUMBER: 0000899243-19-022280
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190820
FILED AS OF DATE: 20190822
DATE AS OF CHANGE: 20190822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: InterWest Partners IX, LP
CENTRAL INDEX KEY: 0001398928
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38238
FILM NUMBER: 191045588
BUSINESS ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: InterWest Management Partners IX, LLC
CENTRAL INDEX KEY: 0001398927
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38238
FILM NUMBER: 191045589
BUSINESS ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-8585
MAIL ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ORONSKY ARNOLD L
CENTRAL INDEX KEY: 0001207833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38238
FILM NUMBER: 191045590
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 2710 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NASR KHALED
CENTRAL INDEX KEY: 0001276600
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38238
FILM NUMBER: 191045591
MAIL ADDRESS:
STREET 1: 2710 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Restoration Robotics, Inc.
CENTRAL INDEX KEY: 0001409269
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 061681204
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 128 BAYTECH DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: 408-883-6888
MAIL ADDRESS:
STREET 1: 128 BAYTECH DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95134
FORMER COMPANY:
FORMER CONFORMED NAME: Restoration Robotics Inc
DATE OF NAME CHANGE: 20070808
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-08-20
0
0001409269
Restoration Robotics, Inc.
HAIR
0001398928
InterWest Partners IX, LP
2710 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001398927
InterWest Management Partners IX, LLC
2710 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001207833
ORONSKY ARNOLD L
2710 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
0001276600
NASR KHALED
2710 SAND HILL ROAD, SUITE 200
MENLO PARK
CA
94025
0
0
1
0
Unsecured Subordinated Convertible Promissory Note
0.4664
2019-08-20
4
P
0
2000000.00
2000000.00
A
2020-08-28
Common Stock
4288164
2000000.00
D
The Promissory Note will convert upon consummation of the transactions contemplated in that certain Agreement and Plan of Merger and Reorganization dated March 15, 2019, among the Issuer, Radiant Merger Sub Ltd., an entity organized under the laws of Israel and Venus Concept Ltd., an entity organized under the laws of Israel.
The securities are directly held by InterWest Partners IX, LP ("IW9"). InterWest Management Partners IX, LLC ("IMP9") as the general partner of IW9, may be deemed to beneficially own the shares held by IW9. Arnold L. Oronsky and Gilbert H. Kliman are Managing Directors of IMP9, and Khaled A. Nasr is a Venture Member of IMP9. Gilbert H. Kliman is also a Director of the Issuer, and has filed a separate Form 4 in his own name. Each of the foregoing persons may be deemed to beneficially own the shares held by IW9, and each foregoing person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
/s/ Karen Wilson, Attorney-in-Fact for InterWest Partners IX, LP
2019-08-22
/s/ Karen Wilson, Attorney-in-Fact for InterWest Management Partners IX, LLC
2019-08-22
/s/ Karen Wilson, Attorney-in-Fact for Arnold L Oronsky
2019-08-22
/s/ Karen Wilson, Attorney-in-Fact for Khaled A. Nasr
2019-08-22