0001181431-14-019588.txt : 20140514 0001181431-14-019588.hdr.sgml : 20140514 20140514165022 ACCESSION NUMBER: 0001181431-14-019588 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140507 FILED AS OF DATE: 20140514 DATE AS OF CHANGE: 20140514 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: 14842181 MAIL ADDRESS: STREET 1: C/O ENTEROMEDICS INC. STREET 2: 2800 PATTON ROAD CITY: ST. PAUL STATE: MN ZIP: 55113 4 1 rrd409341.xml JANSZ FORM 4 MAY 2014 OPTGRANT X0306 4 2014-05-07 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 2023-05-08 Common Stock 10000 10000 D Option (Right to Buy) 1.31 2013-05-31 2017-05-31 Common Stock 50000 50000 D Performance Option (Right to Buy) 1.31 2017-05-31 Common Stock 50000 50000 D Director Option (Right to Buy) 1.84 2014-05-07 4 A 0 25000 0.00 A 2014-05-07 2024-05-07 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. 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. Vests immediately as to 16,667 shares on the date noted; 16,667 shares on 5/31/2014 and 16,666 shares on 5/31/2015. Vests as to 50% on each of 12/31/2013 and 12/31/2014 based on meeting certain performance criteria prior to such dates. /s/ Greg S. Lea, Attorney-in-Fact for Anthony P. Jansz 2014-05-14