0001181431-13-027080.txt : 20130510 0001181431-13-027080.hdr.sgml : 20130510 20130510164916 ACCESSION NUMBER: 0001181431-13-027080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130508 FILED AS OF DATE: 20130510 DATE AS OF CHANGE: 20130510 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: 13834170 MAIL ADDRESS: STREET 1: C/O ENTEROMEDICS INC. STREET 2: 2800 PATTON ROAD CITY: ST. PAUL STATE: MN ZIP: 55113 4 1 rrd379191.xml JANSZ FORM 4 MAY 2013 OPT X0306 4 2013-05-08 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 Common Stock 150000 I Pibrac Property Holdings PTY Director Option (Right to Buy) 2.63 2011-05-05 2021-05-05 Common Stock 25000 25000 D Option (Right to Buy) 2.76 2011-07-01 2015-07-01 Common Stock 50000 50000 D Director Option (Right to Buy) 2.77 2012-05-09 2022-05-09 Common Stock 10000 10000 D Option (Right to Buy) 2.65 2013-01-22 2017-01-22 Common Stock 50000 50000 D Performance Option (Right to Buy) 2.65 2017-01-22 Common Stock 25000 25000 D Warrants 1.14 2013-02-27 2018-02-27 Common Stock 60000 60000 I Pibrac Property Holdings PTY Director Option (right to buy) 0.88 2013-05-08 4 A 0 10000 0.00 A 2013-05-08 2023-05-08 Common Stock 10000 10000 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. Vests in increments of 1/48th per month, beginning the date shown. Vests immediately as to 16,667 shares on the date noted; 16,667 shares on 1/22/2014 and 16,666 shares on 1/22/2015. Vests 100% based on meeting certain performance criteria prior to 6/30/2014 or change in control. The reporting person disclaims beneficial interest in the shares, except to the extent of his pecuniary interest in such shares. /s/ Greg S. Lea, Attorney-in-Fact for Anthony P. Jansz 2013-05-10