0001209191-19-011340.txt : 20190219 0001209191-19-011340.hdr.sgml : 20190219 20190219191628 ACCESSION NUMBER: 0001209191-19-011340 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: Rajpal Rajesh K. CENTRAL INDEX KEY: 0001767449 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38809 FILM NUMBER: 19616721 MAIL ADDRESS: STREET 1: C/O AVEDRO, INC., 201 JONES ROAD CITY: WALTHAM STATE: MA ZIP: 02451 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 0001767449 Rajpal Rajesh K. C/O AVEDRO, INC. 201 JONES ROAD WALTHAM MA 02451 0 1 0 0 Chief Medical Officer Common Stock 2019-02-19 4 C 0 3620 A 7215 D Common Stock 2019-02-19 4 C 0 444 A 7659 D Common Stock 2019-02-19 4 C 0 1284 A 8943 D Series AA Convertible Preferred Stock 2019-02-19 4 C 0 3620 0.00 D Common Stock 3620 0 D Series BB Convertible Preferred Stock 2019-02-19 4 C 0 444 0.00 D Common Stock 444 0 D Series CC Convertible Preferred Stock 2019-02-19 4 C 0 1284 0.00 D Common Stock 1284 0 D Employee Stock Option (right to buy) 12.73 2019-02-19 4 A 0 49438 0.00 A 2029-01-08 Common Stock 49438 49438 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. One forty-eighth (1/48th) of the shares subject to the option shall vest on a monthly basis commencing on January 20, 2019, subject to the Reporting Person continuing to provide service through each such date. /s/ Paul S. Bavier, Attorney-in-Fact 2019-02-19