0001209191-15-052562.txt : 20150611
0001209191-15-052562.hdr.sgml : 20150611
20150611214418
ACCESSION NUMBER: 0001209191-15-052562
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150611
FILED AS OF DATE: 20150611
DATE AS OF CHANGE: 20150611
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Invuity, Inc.
CENTRAL INDEX KEY: 0001393020
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: CA
BUSINESS ADDRESS:
STREET 1: 444 DE HARO STREET
CITY: San Francisco
STATE: CA
ZIP: 94107
BUSINESS PHONE: 415-655-2100
MAIL ADDRESS:
STREET 1: 444 DE HARO STREET
CITY: San Francisco
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Spotlight Surgical Inc
DATE OF NAME CHANGE: 20070313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS XII, LLC
CENTRAL INDEX KEY: 0001355934
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37417
FILM NUMBER: 15927287
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS XII LLC
DATE OF NAME CHANGE: 20060313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KPCB XII Founders Fund, LLC
CENTRAL INDEX KEY: 0001500600
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37417
FILM NUMBER: 15927288
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KPCB XII Associates, LLC
CENTRAL INDEX KEY: 0001500599
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37417
FILM NUMBER: 15927289
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2015-06-11
0
0001393020
Invuity, Inc.
IVTY
0001500599
KPCB XII Associates, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001500600
KPCB XII Founders Fund, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001355934
KLEINER PERKINS CAUFIELD & BYERS XII, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Series B Preferred Stock
Common Stock
414047
I
See Footnotes
Series C Preferred Stock
Common Stock
320389
I
See Footnotes
Series D Preferred Stock
Common Stock
207955
I
See Footnotes
Series E Preferred Stock
Common Stock
19308
I
See Footnotes
348,585 outstanding shares of Series B Preferred Stock shall automatically convert into 414,047 shares of Common Stock, on a 1.18779522532874-for-one basis, immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date.
Not applicable.
Kleiner Perkins Caufield & Byers XII, LLC ("KPCB XII") owns 310,101 shares. KPCB XII Founders Fund, LLC ("KPCB XII Founders") owns 5,926 shares. Excludes 32,558 shares in the aggregate beneficially owned by individuals and entities associated with Kleiner Perkins Caufield & Byers and held for convenience in the name of "KPCB Holdings, Inc. as nominee" for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares.
The managing member of KPCB XII and KPCB XII Founders is KPCB XII Associates, LLC ("XII Associates"). The voting and dispositive control over the shares is shared by individual managing directors of XII Associates, none of whom has veto power.
301,180 outstanding shares of Series C Preferred Stock shall automatically convert into 320,389 shares of common stock, on a 1.06378132118451-for-one basis, immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date.
KPCB XII owns 269,617 shares. KPCB XII Founders owns 3,433 shares. Excludes 28,130 shares in the aggregate beneficially owned by individuals and entities associated with Kleiner Perkins Caufield & Byers and held for convenience in the name of "KPCB Holdings, Inc. as nominee" for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares.
206,137 outstanding shares of Series D Preferred Stock shall automatically convert into 207,955 shares of common stock on a 1.008821799-for-one basis, immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date.
KPCB XII owns 184,534 shares. KPCB XII Founders owns 2,350 shares. Excludes 19,253 shares in the aggregate beneficially owned by individuals and entities associated with Kleiner Perkins Caufield & Byers and held for convenience in the name of "KPCB Holdings, Inc. as nominee" for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares.
18,789 outstanding shares of Series E Preferred Stock shall automatically convert into 19,308 shares of common stock on a 1.027662672-for-one basis, immediately prior to the closing of the Issuer's initial public offering of common stock and has no expiration date.
KPCB XII owns 16,820 shares. KPCB XII Founders owns 214 shares. Excludes 1,755 shares in the aggregate beneficially owned by individuals and entities associated with Kleiner Perkins Caufield & Byers and held for convenience in the name of "KPCB Holdings, Inc. as nominee" for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares.
The Reporting Persons disclaim beneficial ownership of these shares except to the extent of any pecuniary interest therein, and the filing of this report is not an admission that the Reporting Persons are the beneficial owners of these shares for purposes of Section 16 or for any other purpose.
/s/ Paul Vronsky, General Counsel
2015-06-11
/s/ Paul Vronsky, General Counsel
2015-06-11
/s/ Paul Vronsky, General Counsel
2015-06-11