0001140361-17-038294.txt : 20171011 0001140361-17-038294.hdr.sgml : 20171011 20171011164807 ACCESSION NUMBER: 0001140361-17-038294 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20171011 FILED AS OF DATE: 20171011 DATE AS OF CHANGE: 20171011 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zingaretti Gabriele CENTRAL INDEX KEY: 0001710384 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38238 FILM NUMBER: 171132954 MAIL ADDRESS: STREET 1: C/O RESTORATION ROBOTICS, INC. STREET 2: 128 BAYTECH DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Restoration Robotics Inc CENTRAL INDEX KEY: 0001409269 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 061681204 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 128 BAYTECH DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 BUSINESS PHONE: 408-883-6888 MAIL ADDRESS: STREET 1: 128 BAYTECH DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 3 1 doc1.xml FORM 3 X0206 3 2017-10-11 0 0001409269 Restoration Robotics Inc HAIR 0001710384 Zingaretti Gabriele C/O RESTORATION ROBOTICS, INC. 128 BAYTECH DRIVE SAN JOSE CA 95134 0 1 0 0 Chief Operations Officer Common Stock 13062 D Stock Option (Right to Buy) 0.80 2020-05-18 Common Stock 2937 D Stock Option (Right to Buy) 0.90 2021-03-22 Common Stock 5000 D Stock Option (Right to Buy) 2.20 2021-09-30 Common Stock 10000 D Stock Option (Right to Buy) 2.20 2022-11-20 Common Stock 15000 D Stock Option (Right to Buy) 1.80 2024-04-10 Common Stock 48000 D Stock Option (Right to Buy) 1.80 2025-02-24 Common Stock 20000 D Stock Option (Right to Buy) 1.70 2026-02-03 Common Stock 50000 D Stock Option (Right to Buy) 1.70 2027-04-17 Common Stock 10000 D The option is fully vested and exercisable. The option vests with respect to 1/48th of the shares subject thereto on each monthly anniversary of January 1, 2014, subject to continued service through each applicable vesting date. The option vests with respect to 1/48th of the shares subject thereto on each monthly anniversary of January 1, 2015, subject to continued service through each applicable vesting date. The option vests with respect to 1/48th of the shares subject thereto on each monthly anniversary of February 3, 2016, subject to continued service through each applicable vesting date. The option vests with respect to 1/48th of the shares subject thereto on each monthly anniversary of February 9, 2017, subject to continued service through each applicable vesting date. /s/ Charlotte Holland, Attorney-in-Fact for Gabriele Zingaretti 2017-10-11 EX-24 2 poa_zingaretti.htm
Restoration Robotics, Inc.

Power of Attorney

Know all by these presents, that the undersigned hereby constitutes and appoints each of (i) the Chief Executive Officer of Restoration Robotics, Inc., a Delaware corporation (the “Company”), who is currently Ryan Rhodes and (ii) the Company’s Chief Financial Officer, who is currently Charlotte Holland, and their respective successors (including anyone serving in such capacities on an interim or acting basis), signing singly, with full powers of substitution, as the undersigned’s true and lawful attorney-in-fact to:

1.
prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

2.
execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of the Company, Forms 3, 4, and 5 and any amendments thereto in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

3.
do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and

4.
take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 14th day of June, 2017.

 
/s/ Gabriele Zingaretti
 
By: Gabriele Zingaretti