0000899243-18-029477.txt : 20181120
0000899243-18-029477.hdr.sgml : 20181120
20181120170947
ACCESSION NUMBER: 0000899243-18-029477
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181116
FILED AS OF DATE: 20181120
DATE AS OF CHANGE: 20181120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MORGENTHALER VENTURE PARTNERS IX LP
CENTRAL INDEX KEY: 0001439101
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38740
FILM NUMBER: 181196216
BUSINESS ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-388-7600
MAIL ADDRESS:
STREET 1: 2710 SAND HILL ROAD
STREET 2: SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Morgenthaler Management Partners IX, LLC
CENTRAL INDEX KEY: 0001666860
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38740
FILM NUMBER: 181196217
BUSINESS ADDRESS:
STREET 1: 3200 ALPINE ROAD
CITY: PORTOLA VALLEY
STATE: CA
ZIP: 94028
BUSINESS PHONE: 650-388-7600
MAIL ADDRESS:
STREET 1: 3200 ALPINE ROAD
CITY: PORTOLA VALLEY
STATE: CA
ZIP: 94028
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VAPOTHERM INC
CENTRAL INDEX KEY: 0001253176
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 DOMAIN DRIVE
CITY: EXETER
STATE: NH
ZIP: 03833
BUSINESS PHONE: 603-658-0411
MAIL ADDRESS:
STREET 1: 100 DOMAIN DRIVE
CITY: EXETER
STATE: NH
ZIP: 03833
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-11-16
1
0001253176
VAPOTHERM INC
VAPO
0001439101
MORGENTHALER VENTURE PARTNERS IX LP
3200 ALPINE ROAD
PORTOLA VALLEY
CA
94028
0
0
1
0
0001666860
Morgenthaler Management Partners IX, LLC
3200 ALPINE ROAD
PORTOLA VALLEY
CA
94028
0
0
1
0
Common Stock
2018-11-16
4
C
0
921348
A
921348
D
Common Stock
2018-11-16
4
C
0
61342
A
982690
D
Series A Convertible Preferred Stock
2018-11-16
4
C
0
214285
0.00
D
Common Stock
214285
0
D
Series B Convertible Preferred Stock
2018-11-16
4
C
0
217803
0.00
D
Common Stock
217803
0
D
Series C Convertible Preferred Stock
2018-11-16
4
C
0
359842
0.00
D
Common Stock
359842
0
D
Series D Convertible Preferred Stock
2018-11-16
4
C
0
129418
0.00
D
Common Stock
129418
0
D
Series D-1 Convertible Preferred Stock
2018-11-16
4
C
0
61342
0.00
D
Common Stock
61342
0
D
Upon closing of the Issuer's initial public offering, each share of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock automatically converted into one share of Common Stock without payment or further consideration. There was no expiration date for the Series A Convertible Preferred Stock, the Series B Convertible Preferred Stock, the Series C Convertible Preferred Stock or the Series D Convertible Preferred Stock.
Upon closing of the Issuer's initial public offering, each share of Series D-1 Convertible Preferred Stock automatically converted into 1.137 shares of Common Stock without payment or further consideration. There was no expiration date for the Series D-1 Convertible Preferred Stock.
The securities are held by Morgenthaler Venture Partners IX, L.P. ("MVP IX"). The general partner of MVP IX is Morgenthaler Management Partners IX, LLC ("MMP IX"). MMP IX may be deemed to indirectly beneficially own the securities directly held by MVP IX. MMP IX disclaims beneficial ownership of the securities held by MVP IX except to the extent of its pecuniary interest therein.
Morgenthaler Venture Partners IX, L.P., By: Morgenthaler Management Partners IX, LLC, its General Partner, By: /s/ Travis, Boettner, Chief Financial Officer and Chief, Compliance Officer
2018-11-20
Morgenthaler Management Partners IX, LLC, By: /s/ Travis Boettner, Chief Financial, Officer and Chief Compliance Officer
2018-11-20