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