0001104659-15-050338.txt : 20150708 0001104659-15-050338.hdr.sgml : 20150708 20150708190038 ACCESSION NUMBER: 0001104659-15-050338 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150707 FILED AS OF DATE: 20150708 DATE AS OF CHANGE: 20150708 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ConforMIS Inc CENTRAL INDEX KEY: 0001305773 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 28 CROSBY DR. CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: (781) 345-9001 MAIL ADDRESS: STREET 1: 28 CROSBY DR. CITY: BEDFORD STATE: MA ZIP: 01730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Milligan Michael D. CENTRAL INDEX KEY: 0001538477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37474 FILM NUMBER: 15980169 MAIL ADDRESS: STREET 1: TWO INTERNATIONAL DRIVE STREET 2: STE. 200 CITY: PORTSMOUTH STATE: NH ZIP: 03801 4 1 a4.xml 4 X0306 4 2015-07-07 0 0001305773 ConforMIS Inc CFMS 0001538477 Milligan Michael D. C/O NEWTRAX LLC 155 SPRING STREET, 6TH FLOOR NEW YORK NY 10012 1 0 0 0 Common Stock 2015-07-07 4 C 0 937500 A 937500 I See footnote. Series E-1 Preferred Stock 2015-07-07 4 C 0 656250 0.00 D Common Stock 328125 0 I See footnote. Series E-2 Preferred Stock 2015-07-07 4 C 0 1218750 0.00 D Common Stock 609375 0 I See footnote. The Series E-1 and E-2 Preferred Stock converted into Common Stock on a two-for-one basis upon the closing of the Issuer's initial public offering without the payment of consideration. The Series E-1 and E-2 Preferred Stock were convertible at any time at the holder's election and automatically upon the closing of the Issuer's initial public offering, and had no expiration date. The securities are directly held by NewtrAx LLC, which is indirectly controlled by Lexa International Corporation. The Reporting Person is affiliated with NewtrAx LLC and disclaims beneficial ownership of all shares except to the extent of his pecuniary interest therein. /s/ Michael Milligan 2015-07-08