0001437749-18-009072.txt : 20180508 0001437749-18-009072.hdr.sgml : 20180508 20180508192424 ACCESSION NUMBER: 0001437749-18-009072 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180507 FILED AS OF DATE: 20180508 DATE AS OF CHANGE: 20180508 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peach Zita CENTRAL INDEX KEY: 0001709683 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55781 FILM NUMBER: 18816304 MAIL ADDRESS: STREET 1: C/O AIRXPANDERS, INC. STREET 2: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AIRXPANDERS INC CENTRAL INDEX KEY: 0001387156 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: 650-390-9000 MAIL ADDRESS: STREET 1: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 4 1 rdgdoc.xml FORM 4 X0306 4 2018-05-07 0001387156 AIRXPANDERS INC AXP 0001709683 Peach Zita C/O AIRXPANDERS, INC. 1047 ELWELL COURT PALO ALTO CA 94303 1 Common Stock A 2018-05-07 4 P 0 27778 0.28 A 27778 I J PEACH SUPER FUND A/C, in which Zita Peach has a beneficial interest. Purchase of 83,333 Chess Depository Instruments (CDIs) held in J PEACH SUPER FUND A/C, in which Zita Peach has a beneficial interest. CDIs are units of beneficial ownership in our shares of Common Stock held by CHESS Depositary Nominees Pty Limited, or CDN, a wholly-owned subsidiary of ASX Limited, the company that operates the Australian Securities Exchange. The CDIs are convertible to Common Stock A on a 3-for-1 basis. Average price per CDI of $0.127474 and an AUS dollar to US dollar exchange rate of 0.744 /s/ Scott Murcray 2018-05-08