0001209191-15-040628.txt : 20150508 0001209191-15-040628.hdr.sgml : 20150508 20150508170116 ACCESSION NUMBER: 0001209191-15-040628 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150506 FILED AS OF DATE: 20150508 DATE AS OF CHANGE: 20150508 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: 15847698 MAIL ADDRESS: STREET 1: C/O ENTEROMEDICS INC. STREET 2: 2800 PATTON ROAD CITY: ST. PAUL STATE: MN ZIP: 55113 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-06 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 Stock 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 Stock Option (right to buy) 2.65 2013-01-22 2017-01-22 Common Stock 50000 50000 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 Director Option (right to buy) 1.84 2014-05-07 2024-05-07 Common Stock 25000 25000 D Performance Option (right to buy) 1.14 2014-11-14 2018-10-06 Common Stock 25000 25000 D Director Option (right to buy) 1.12 2015-05-06 4 A 0 25000 0.00 A 2015-05-06 2025-05-06 Common Stock 25000 25000 D Director Option (right to buy) 1.12 2015-05-06 4 A 0 25000 0.00 A 2015-06-06 2025-05-06 Common Stock 25000 25000 D The reporting person disclaims beneficial interest in the shares held by the Trust. The reporting person disclaims beneficial interest in the shares, except to the extent of his pecuniary interest in such shares. 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 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. On October 6, 2014, the reporting person was granted an option to purchase 25,000 shares of common stock upon the satisfaction of certain performance criteria prior to March 31, 2015. The performance criteria were met, resulting in vesting of the option in full. Vests in cumulative installments of 1/12th per month beginning the date shown. /s/ Greg S. Lea, Attorney-in-Fact for Anthony P. Jansz 2015-05-08