0000899243-17-019083.txt : 20170726
0000899243-17-019083.hdr.sgml : 20170726
20170726200930
ACCESSION NUMBER: 0000899243-17-019083
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170724
FILED AS OF DATE: 20170726
DATE AS OF CHANGE: 20170726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIMS JAMES K
CENTRAL INDEX KEY: 0001208317
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37851
FILM NUMBER: 17984137
MAIL ADDRESS:
STREET 1: 5400 LEGACY DRIVE, H3-3A-05
CITY: PLANO
STATE: TX
ZIP: 75024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AIRGAIN INC
CENTRAL INDEX KEY: 0001272842
STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663]
IRS NUMBER: 200281763
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3611 VALLEY CENTRE DRIVE
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
BUSINESS PHONE: (760) 579-0200
MAIL ADDRESS:
STREET 1: 3611 VALLEY CENTRE DRIVE
STREET 2: SUITE 150
CITY: SAN DIEGO
STATE: CA
ZIP: 92130
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-07-24
0
0001272842
AIRGAIN INC
AIRG
0001208317
SIMS JAMES K
C/O AIRGAIN, INC..
3611 VALLEY CENTRE DRIVE, SUITE 150
SAN DIEGO
CA
92130
1
0
1
0
Common Stock
2017-07-24
4
J
0
11235
0.00
D
1070771
I
See Footnotes
Common Stock
220594
D
Represents a distribution in-kind to certain shareholders of Gen 3 Partners, Inc. ("Gen 3 Partners") for no value.
Represents 1,043,464 shares of common stock held by GEN3 Capital I, LP ("GEN3 Capital") and 27,307 shares of common stock held by Gen 3 Partners.
The general partner of GEN3 Capital is GEN3 Capital Partners, LLC ("GEN3 LLC"), and James K. Sims is the Managing Member of GEN3 LLC. As a result, each of GEN3 LLC and Mr. Sims may be deemed to share beneficial ownership of the shares held by GEN3 Capital. Mr. Sims, Francis X. Egan, Arthur M. Toscanini and Michael Treacy may be deemed to share beneficial ownership of the shares held by Gen 3 Partners in their capacity as directors of Gen 3 Partners. Each of the individuals and entities listed herein disclaims such beneficial ownership except to the extent of his or its pecuniary interest therein.
/s/ James K. Sims
2017-07-26