0001209191-14-048606.txt : 20140723 0001209191-14-048606.hdr.sgml : 20140723 20140723163527 ACCESSION NUMBER: 0001209191-14-048606 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140723 FILED AS OF DATE: 20140723 DATE AS OF CHANGE: 20140723 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRUPANION INC. CENTRAL INDEX KEY: 0001371285 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 907 NW BALLARD WAY CITY: SEATTLE STATE: WA ZIP: 98107 BUSINESS PHONE: 888-738-7478 MAIL ADDRESS: STREET 1: 907 NW BALLARD WAY CITY: SEATTLE STATE: WA ZIP: 98107 FORMER COMPANY: FORMER CONFORMED NAME: VETINSURANCE INTERNATIONAL INC DATE OF NAME CHANGE: 20060802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAWLINGS DARRYL CENTRAL INDEX KEY: 0001611679 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36537 FILM NUMBER: 14989164 MAIL ADDRESS: STREET 1: 907 NW BALLARD WAY CITY: SEATTLE STATE: WA ZIP: 98107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-07-23 0 0001371285 TRUPANION INC. TRUP 0001611679 RAWLINGS DARRYL C/O TRUPANION, INC. 907 NW BALLARD WAY SEATTLE WA 98107 1 1 0 0 President and CEO Common Stock 2014-07-23 4 C 0 70 A 701332 D Common Stock 2014-07-23 4 A 0 1025559 A 1726891 D Series B Convertible Preferred Stock 2014-07-23 4 C 0 70 0.00 D Common Stock 70 0 D Special Voting Shares 2014-07-23 4 D 0 1025559 0.00 D Common Stock 1025559 0 D Each share of the issuer's Series B Convertible Preferred Stock converted into 1 share of the issuer's Common Stock on July 23, 2014 in connection with the closing of the issuer's sale of its Common Stock in its firm commitment initial public offering pursuant to a registration statement on Form S-1 (File No. 333-196814) under the Securities Act of 1933, as amended, and had no expiration date. Of these shares, 701,262 shares represent unvested restricted stock subject to the issuer's right of repurchase as of the date of this filing, which repurchase right lapses over time. Each exchangeable share of Trupanion Canadian Shareholders, Ltd., a Canadian subsidiary of the issuer, was automatically exchanged for 10 shares of the issuer's common stock on July 23, 2014, which triggered a mandatory redemption of each Special Voting Share, which Special Voting Share has no expiration date. /s/ Charlotte Sim-Warner as attorney-in-fact for Darryl Rawlings 2014-07-23