SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Strobeck Matthew

(Last) (First) (Middle)
2970 WILDERNESS PLACE, SUITE 100

(Street)
BOULDER CO 80301

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/27/2020
3. Issuer Name and Ticker or Trading Symbol
BIODESIX INC [ BDSX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series C Preferred Stock (1) (1) Common Stock 16,847 (1) D
Series D Preferred Stock (1) (1) Common Stock 115,610 (1) D
Series E Preferred Stock (1) (1) Common Stock 126,503 (1) D
Series F Preferred Stock (1) (1) Common Stock 152,212 (1) D
Series G Preferred Stock (1) (1) Common Stock 279,699 (1) D
Series H Preferred Stock (1) (1) Common Stock 140,877 (1) D
Series H Preferred Stock (1) (1) Common Stock 21,974 (1) I(2) By Clajer Capital LLC(2)
Stock Options (Right to Buy) (3) 07/15/2029 Common Stock 35,158 $6.83 D
Stock Options (Right to Buy) (4) 04/14/2030 Common Stock 35,158 $6.83 D
Stock Options (Right to buy) 01/30/2013 01/29/2022 Common Stock 3,369 $23.74 D
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 18,714 (5) I(2) By Clajer Capital LLC(2)
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 76,631 (5) D
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 3,522 (5) I(6) By UGMA Account(6)
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 3,522 (5) I(6) By UGMA Account(6)
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 3,522 (5) I(6) By UGMA Account(6)
3% Convertible Debt due June 2021 (5) 06/30/2021 Common Stock 3,522 (5) I(6) By UGMA Account(6)
Explanation of Responses:
1. Every share of Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock, Series F Preferred Stock, Series G Preferred Stock and Series H Preferred Stock, (collectively, the "Preferred Stock") is convertible into approximately 0.1684664 shares of Issuer Common Stock ("Common Stock") upon the closing of the Issuer's initial public offering ("IPO"). Share numbers give effect to such conversion. The Preferred Stock has no expiration date.
2. The reporting person is an affiliate of Clajer Capital LLC. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
3. This option vested in 12 successive, equal monthly installments measured from April 1, 2019.
4. This option vests in 12 successive, equal monthly installments measured from April 1, 2020.
5. This Convertible Debt pays interest at 3% per annum and is payable in full upon maturity through the conversion to Series H Preferred Stock at 80% of the original issuance price of $1.15 per share. On or before the maturity date and if the Convertible Debt is unpaid, the outstanding principal and unpaid accrued interest shall be automatically converted into Common Stock at the completion of the IPO. The conversion price will be equal to 80% of the price per share paid for the Common Stock sold in the IPO. The conversion price is $14.40, or 80% of the $18 price per share paid for the Common Stock sold in the IPO.
6. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
Remarks:
Exhibit List Exhibit 24 - Power of Attorney
/s/ Robin H. Cowie as Attorney-in-Fact for Matthew Strobeck 10/27/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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