0001209191-22-054222.txt : 20221020 0001209191-22-054222.hdr.sgml : 20221020 20221020195730 ACCESSION NUMBER: 0001209191-22-054222 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221018 FILED AS OF DATE: 20221020 DATE AS OF CHANGE: 20221020 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LACOB JOSEPH CENTRAL INDEX KEY: 0001215490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40337 FILM NUMBER: 221322021 MAIL ADDRESS: STREET 1: 2820 ORCHARD PARKWAY CITY: SAN JOSE STATE: CA ZIP: 95131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NeuroPace Inc CENTRAL INDEX KEY: 0001528287 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 223550230 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 455 N. BERNARDO AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6502372700 MAIL ADDRESS: STREET 1: 455 N. BERNARDO AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-10-18 0 0001528287 NeuroPace Inc NPCE 0001215490 LACOB JOSEPH C/O NEUROPACE, INC. 455 N. BERNARDO AVENUE MOUNTAIN VIEW CA 95131 1 0 0 0 Common Stock 2022-10-18 4 M 0 192 0.026 A 384 D Common Stock 351728 I See Footnote Stock Option (Rt to Buy) 0.026 2022-10-18 4 M 0 192 0.00 D 2022-11-12 Common Stock 192 0 D Includes 128,174 shares held by Lacob Ventures LLC and 223,554 shares held by LCT18 Investments, LLC. The share underlying the option are fully vested. /s/ Irina Ridley, Attorney-In-Fact 2022-10-20