0001209191-16-110187.txt : 20160323
0001209191-16-110187.hdr.sgml : 20160323
20160323141504
ACCESSION NUMBER: 0001209191-16-110187
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160323
FILED AS OF DATE: 20160323
DATE AS OF CHANGE: 20160323
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Senseonics Holdings, Inc.
CENTRAL INDEX KEY: 0001616543
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 471210911
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
BUSINESS PHONE: (301) 515-7260
MAIL ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
FORMER COMPANY:
FORMER CONFORMED NAME: ASN Technologies, Inc.
DATE OF NAME CHANGE: 20140813
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROEDER DOUGLAS A
CENTRAL INDEX KEY: 0001270735
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523581
MAIL ADDRESS:
STREET 1: 3000 DAND HILL RD, BLDG 1, STE 135
STREET 2: C/O DELPHI VENTURES
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PAKIANATHAN DEEPIKA
CENTRAL INDEX KEY: 0001270734
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523582
MAIL ADDRESS:
STREET 1: 3000 SAND HILL RD, BLDG 1, STE 135
STREET 2: C/O DELPHI VENTURES
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOUGLASS DAVID L
CENTRAL INDEX KEY: 0001271389
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523583
MAIL ADDRESS:
STREET 1: 3000 SAND HILL RD
STREET 2: BUILDING 1, SUITE 135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DELPHI VENTURES VIII LP
CENTRAL INDEX KEY: 0001436285
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523584
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 1, SUITE 135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-9657
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 1, SUITE 135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOCHNOWSKI JAMES J
CENTRAL INDEX KEY: 0001255743
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523586
MAIL ADDRESS:
STREET 1: C/O DELPHI VENTURES
STREET 2: 3000 SAND HILL ROAD STE 135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Delphi BioInvestments VIII LP
CENTRAL INDEX KEY: 0001451526
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523585
BUSINESS ADDRESS:
STREET 1: 300 Sand Hill Rd
STREET 2: Building 1 Suite 135
CITY: Menlo Park
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 9650
MAIL ADDRESS:
STREET 1: 300 Sand Hill rd
STREET 2: Building 1 Suite 135
CITY: Menlo pARK
STATE: ca
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Delphi Management Partners VIII, L.L.C.
CENTRAL INDEX KEY: 0001457494
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 161523587
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 1-135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-854-9650
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, 1-135
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-03-23
0
0001616543
Senseonics Holdings, Inc.
SENS
0001457494
Delphi Management Partners VIII, L.L.C.
C/O DELPHI VENTURES
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001255743
BOCHNOWSKI JAMES J
C/O DELPHI VENTURES
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001451526
Delphi BioInvestments VIII LP
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001436285
DELPHI VENTURES VIII LP
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001271389
DOUGLASS DAVID L
C/O DELPHI VENTURES
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001270734
PAKIANATHAN DEEPIKA
C/O DELPHI VENTURES
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
0
0
1
0
0001270735
ROEDER DOUGLAS A
C/O DELPHI VENTURES
160 BOVET ROAD, SUITE 408
SAN MATEO
CA
94402
1
0
1
0
Common Stock
2016-03-23
4
P
0
1216195
2.85
A
11237221
I
Delphi Ventures VIII, L.P.
Common Stock
2016-03-23
4
P
0
11875
2.85
A
109725
I
Delphi BioInvestments VIII, L.P.
The reported securities are directly owned by Delphi Ventures VIII, L.P. ("DV VIII"). Delphi Management Partners VIII, L.L.C. ("DMP VIII") is the general partner of DV VIII and may be deemed to have sole voting and dispositive power over the securities held by DV VIII. Douglas A. Roeder, James J. Bochnowski, David L. Douglass and Deepika R. Pakianathan, Ph.D. are the managing members of DMP VIII and may be deemed to share voting and dispositive power over the securities held by DV VIII. Such persons and entities disclaim beneficial ownership of the securities held by DV VIII, except to the extent of any pecuniary interest therein.
The reported securities are directly owned by Delphi BioInvestments VIII, L.P. ("DBI VIII"). DMP VIII is the general partner of DBI VIII and may be deemed to have sole voting and dispositive power over the securities held by DBI VIII. Douglas A. Roeder, James J. Bochnowski, David L. Douglass and Deepika R. Pakianathan, Ph.D. are the managing members of DMP VIII and may be deemed to share voting and dispositive power over the securities held by DBI VIII. Such persons and entities disclaim beneficial ownership of the securities held by DBI VIII, except to the extent of any pecuniary interest therein.
/s/ Matthew T. Potter, Attorney-in-Fact for Delphi Management Partners VIII, L.L.C.
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for James Bochnowski
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for Delphi BioInvestments VIII, L.P.
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for Delphi Ventures VIII, L.P.
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for David Douglass
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for Deepika Pakianathan
2016-03-23
/s/ Matthew T. Potter, Attorney-in-Fact for Douglas A. Roeder
2016-03-23