0000899243-20-016874.txt : 20200617
0000899243-20-016874.hdr.sgml : 20200617
20200617164715
ACCESSION NUMBER: 0000899243-20-016874
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200526
FILED AS OF DATE: 20200617
DATE AS OF CHANGE: 20200617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Crawford Matthew S
CENTRAL INDEX KEY: 0001373084
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35706
FILM NUMBER: 20970267
MAIL ADDRESS:
STREET 1: 3600 N CAPITAL OF TEXAS HWY
STREET 2: SUITE B180
CITY: AUSTIN
STATE: TX
ZIP: 78746
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Endosurgery, Inc.
CENTRAL INDEX KEY: 0001251769
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 161630142
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
BUSINESS PHONE: 512-279-5100
MAIL ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH, INC
DATE OF NAME CHANGE: 20060316
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH INC
DATE OF NAME CHANGE: 20051202
FORMER COMPANY:
FORMER CONFORMED NAME: NEIGHBORHOOD CONNECTIONS INC
DATE OF NAME CHANGE: 20040323
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-26
0
0001251769
Apollo Endosurgery, Inc.
APEN
0001373084
Crawford Matthew S
3600 N CAPITAL OF TEXAS HWY, SUITE B180
AUSTIN
TX
78746
1
0
0
0
Common Stock
2020-05-26
4
J
0
1341222
D
857964
I
By PTV Sciences II, L.P.
Common Stock
2020-05-26
4
J
0
245444
A
245444
I
By Pinto Technology Ventures GP II, L.P.
Common Stock
2020-05-26
4
J
0
245444
D
0
I
By Pinto Technology Ventures GP II, L.P.
Common Stock
2020-05-26
4
J
0
74218
A
127933
D
Common Stock
1347565
I
By PTV IV, L.P.
Common Stock
605712
I
By PTV Special Opportunities I, L.P.
Common Stock
363500
I
By Longchamp Interests LLC
Represents in-kind distribution by PTV Sciences II, L.P. to its partners (including Pinto Technology Ventures GP II, L.P.) without consideration.
These securities are owned by PTV Sciences II, L.P. ("PTV II").
Pinto TV GP Company LLC ("PTV GPC") is the sole general partner of Pinto Technology Ventures GP II, L.P. ("PTV GP II"), which is the sole general partner of PTV II. Matthew S. Crawford is the sole manager of PTV GPC. Accordingly, PTV GP II, PTV GPC and Mr. Crawford may be deemed to have voting and investment control over the shares owned by PTV II and PTV GP II. Mr. Crawford disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
These securities are owned by PTV GP II.
Represents in-kind distribution by PTV GP II to its partners without consideration.
These securities are owned by PTV IV, L.P. ("PTV IV"). PTV GP III Management, LLC ("PTV GPM") is the sole general partner of PTV GP IV, L.P. ("PTV GP IV"), which is the sole general partner of PTV IV. Matthew S. Crawford is the sole manager of PTV GPM. PTV GP IV, PTV GPM and Mr. Crawford may be deemed to have voting and investment control over the shares owned by PTV IV. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
These securities are owned by PTV Special Opportunities I, L.P. ("PTV SO"). PTV GP III Management, LLC ("PTV GPM") is the sole general partner of PTV GP SO I, L.P. ("PTV GP SO"), which is the sole general partner of PTV SO. Matthew S. Crawford is the sole manager of PTV GPM. PTV GP SO, PTV GPM and Mr. Crawford may be deemed to have voting and investment control over the shares owned by PTV SO. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
These securities are owned by Longchamp Interests LLC ("Longchamp"). Matthew S. Crawford acts as the sole managing member of Longchamp and is deemed to possess the power to vote and dispose of the shares held by Longchamp.
/s/ Matthew S. Crawford
2020-06-17