0001209191-18-030326.txt : 20180515
0001209191-18-030326.hdr.sgml : 20180515
20180515184250
ACCESSION NUMBER: 0001209191-18-030326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170514
FILED AS OF DATE: 20180515
DATE AS OF CHANGE: 20180515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levensohn Pascal
CENTRAL INDEX KEY: 0001394300
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38107
FILM NUMBER: 18838310
MAIL ADDRESS:
STREET 1: C/O LEVENSOHN VENTURE PARTNERS
STREET 2: 260 TOWNSEND STREET, SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SHOTSPOTTER, INC
CENTRAL INDEX KEY: 0001351636
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 470949915
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7979 GATEWAY BLVD., STE. 210
CITY: NEWARK
STATE: CA
ZIP: 94560
BUSINESS PHONE: (510) 794-3100
MAIL ADDRESS:
STREET 1: 7979 GATEWAY BLVD., STE. 210
CITY: NEWARK
STATE: CA
ZIP: 94560
FORMER COMPANY:
FORMER CONFORMED NAME: SHOTSPOTTER INC
DATE OF NAME CHANGE: 20110517
FORMER COMPANY:
FORMER CONFORMED NAME: Shotspotter Inc
DATE OF NAME CHANGE: 20060131
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-14
0
0001351636
SHOTSPOTTER, INC
SSTI
0001394300
Levensohn Pascal
1971 VALLEJO STREET
SAINT HELENA
CA
94574
1
0
0
0
Common Stock
2018-05-14
4
X
0
785
5.8667
A
9872
I
By Trust
Common Stock
2018-05-14
4
S
0
153
30.202
D
9719
I
By Trust
Common Stock
12761
D
Common Stock
13214
I
By Trust
Shares are held directly by Levensohn 2000 Children's Trust, over which Reporting Person holds voting and dispositive power.
On May 14, 2018, Levensohn 2000 Children's Trust, LLC ("LCH") exercised a warrant to purchase 785 shares of Issuer's common stock for $5.8667 per share. LCH paid the exercise price on a cashless basis, resulting in Issuer's withholding of 153 of the warrant shares to pay the exercise price and issuing to LCH the remaining 632 shares.
Shares are held directly by Levensohn Securities Holdings, LLC, over which Reporting Person holds voting and dispositive power.
Shares are held directly by Pascal Levensohn Revocable Trust, over which Reporting Person holds voting and dispositive power.
Pascal Levensohn, by /s/ Ron A. Metzger, Attorney-in-Fact
2018-05-15