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