0001209191-19-011331.txt : 20190219 0001209191-19-011331.hdr.sgml : 20190219 20190219191155 ACCESSION NUMBER: 0001209191-19-011331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190219 FILED AS OF DATE: 20190219 DATE AS OF CHANGE: 20190219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kliman Gilbert H CENTRAL INDEX KEY: 0001293171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38809 FILM NUMBER: 19616694 MAIL ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 2710 SAND HILL ROAD, SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AVEDRO INC CENTRAL INDEX KEY: 0001343304 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 JONES ROAD CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781 768 3400 MAIL ADDRESS: STREET 1: 201 JONES ROAD CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-02-19 0 0001343304 AVEDRO INC AVDR 0001293171 Kliman Gilbert H C/O AVEDRO, INC. 201 JONES ROAD WALTHAM MA 02451 1 0 1 0 Common Stock 2019-02-19 4 C 0 2247190 A 2348802 I See Footnote Common Stock 2019-02-19 4 C 0 222119 A 2570921 I See Footnote Common Stock 2019-02-19 4 C 0 171318 A 2742239 I See Footnote Common Stock 2019-02-19 4 P 0 25000 14.00 A 25000 D Series AA Convertible Preferred Stock 2019-02-19 4 C 0 2247190 0.00 D Common Stock 2247190 0 I See Footnote Series BB Convertible Preferred Stock 2019-02-19 4 C 0 222119 0.00 D Common Stock 222119 0 I See Footnote Series CC Convertible Preferred Stock 2019-02-19 4 C 0 171318 0.00 D Common Stock 171318 0 I See Footnote Stock Option (right to buy) 12.73 2019-02-19 4 A 0 8314 0.00 A 2029-01-08 Common Stock 8314 8314 D Each share of Series AA Convertible Preferred Stock, Series BB Convertible Preferred Stock and Series CC Convertible Preferred Stock was convertible at any time, at the option of the holder, into Common Stock, on a one-for-one basis, had no expiration date and converted into shares of Common Stock upon the closing of the Issuer's initial public offering. The shares are directly held by InterWest Partners X, LP ("InterWest X"). InterWest Management Partners X, LLC ("IMP X"), as the general partner of InterWest X, may be deemed to beneficially own the shares held by InterWest X. The Reporting Person is a managing director of IMP X, and as such may be deemed to beneficially own the shares held by InterWest X. The Reporting Person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein. One hundred percent (100%) of the shares subject to the option shall vest on the earlier of (x) June 1, 2020 and (y) the first anniversary of the first annual meeting of the Issuer's stockholders following the Issuer's initial public offering, subject to the Reporting Person continuing to provide service through such date. /s/ Paul S. Bavier, Attorney-in-Fact 2019-02-19