0001181431-11-028238.txt : 20110509 0001181431-11-028238.hdr.sgml : 20110509 20110509171038 ACCESSION NUMBER: 0001181431-11-028238 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110505 FILED AS OF DATE: 20110509 DATE AS OF CHANGE: 20110509 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EnteroMedics Inc CENTRAL INDEX KEY: 0001371217 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 MAIL ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jansz Anthony P. CENTRAL INDEX KEY: 0001519772 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33818 FILM NUMBER: 11824319 MAIL ADDRESS: STREET 1: C/O ENTEROMEDICS INC. STREET 2: 2800 PATTON ROAD CITY: ST. PAUL STATE: MN ZIP: 55113 4 1 rrd309793.xml JANSZ FORM 4 MAY 2011 OPTGRANT X0303 4 2011-05-05 0 0001371217 EnteroMedics Inc ETRM 0001519772 Jansz Anthony P. 2800 PATTON ROAD ST. PAUL MN 55113 1 0 0 0 Common Stock 25000 I Family Trust Director Option (Right to Buy) 2.63 2011-05-05 4 A 0 25000 2.63 A 2011-05-05 2021-05-05 Common Stock 25000 25000 D The reporting person disclaims beneficial interest in the shares held by the Trust. Vests immediately as to 25% on date noted and thereafter in cumulative installments of 1/36th per month. /s/ Mark B. Knudson, Attorney-in-Fact for Anthony P. Jansz 2011-05-09