0000899243-19-027153.txt : 20191112
0000899243-19-027153.hdr.sgml : 20191112
20191112210155
ACCESSION NUMBER: 0000899243-19-027153
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191107
FILED AS OF DATE: 20191112
DATE AS OF CHANGE: 20191112
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: 191211480
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: 191211481
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: 191211482
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: 191211483
MAIL ADDRESS:
STREET 1: 2710 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Venus Concept Inc.
CENTRAL INDEX KEY: 0001409269
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 061681204
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 235 YORKLAND BLVD.
STREET 2: SUITE 900
CITY: TORONTO
STATE: A6
ZIP: M2J 4Y8
BUSINESS PHONE: 877-848-8430 X117
MAIL ADDRESS:
STREET 1: 235 YORKLAND BLVD.
STREET 2: SUITE 900
CITY: TORONTO
STATE: A6
ZIP: M2J 4Y8
FORMER COMPANY:
FORMER CONFORMED NAME: Restoration Robotics, Inc.
DATE OF NAME CHANGE: 20171121
FORMER COMPANY:
FORMER CONFORMED NAME: Restoration Robotics Inc
DATE OF NAME CHANGE: 20070808
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-11-07
1
0001409269
Venus Concept Inc.
VERO
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
Common Stock
2019-11-07
4
C
0
301605
A
658657
D
Unsecured Subordinated Convertible Promissory Note
2019-11-07
4
C
0
2000000.00
0.00
D
2020-08-28
Common Stock
301605
0
D
Received in connection with the Agreement and Plan of Merger and Reorganization dated March 15, 2019, among the Issuer (formerly known as Restoration Robotics, Inc.), 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 "Merger"), upon the conversion of the outstanding principal and any accrued and unpaid interest of an 8% Convertible Promissory Notes issued by Venus Concept Inc., dated as of February 28, 2019 in the original principal amount of $2,000,000.00 and accrued interest income of $110,027.40. Share data reported herein reflects the 1-for-15 reverse stock split that occurred after the note conversion on November 7, 2019.
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. IW9 ceased to be a 10% owner upon closing of the Merger.
This Unsecured Subordinated Convertible Promissory Note was converted with a conversion price of $0.4664 prior to the 1-for-15 reverse stock split that occurred on November 7, 2019.
This Unsecured Subordinated Convertible Promissory Note converted upon the consummation of the Merger, pursuant to its terms.
/s/ Karen Wilson, Attorney-in-Fact for InterWest Partners IX, LP
2019-11-12
/s/ Karen Wilson, Attorney-in-Fact for InterWest Management Partners IX, LLC
2019-11-12
/s/ Karen Wilson, Attorney-in-Fact for Arnold L Oronsky
2019-11-12
/s/ Karen Wilson, Attorney-in-Fact for Khaled A. Nasr
2019-11-12