0001140361-18-029763.txt : 20180625 0001140361-18-029763.hdr.sgml : 20180625 20180625155750 ACCESSION NUMBER: 0001140361-18-029763 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180612 FILED AS OF DATE: 20180625 DATE AS OF CHANGE: 20180625 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIROVICH MATTHEW CENTRAL INDEX KEY: 0001431208 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37685 FILM NUMBER: 18917061 MAIL ADDRESS: STREET 1: C/O SCOPIA MANAGEMENT INC STREET 2: 450 SEVENTH AVENUE, 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PAVmed Inc. CENTRAL INDEX KEY: 0001624326 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 471214177 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: ONE GRAND CENTRAL PLACE STREET 2: SUITE 4600 CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 212-949-4319 MAIL ADDRESS: STREET 1: ONE GRAND CENTRAL PLACE STREET 2: SUITE 4600 CITY: NEW YORK STATE: NY ZIP: 10165 FORMER COMPANY: FORMER CONFORMED NAME: PAXmed Inc. DATE OF NAME CHANGE: 20141105 3 1 doc1.xml FORM 3 X0206 3 2018-06-12 0 0001624326 PAVmed Inc. PAVM 0001431208 SIROVICH MATTHEW C/O SCOPIA CAPITAL MANAGEMENT LP 152 WEST 57TH STREET, 33RD FLOOR NEW YORK NY 10018 0 0 1 0 Common Stock 466514 D Common Stock 1414904 I See Footnote Common Stock 732000 I See Footnote Series S Warrants (right to buy) 0.01 2032-06-30 Common Stock 1199383 D Series Z Warrants (right to buy) 1.60 2024-04-30 Common Stock 458257 D Series Z Warrants (right to buy) 1.60 2024-04-30 Common Stock 857452 I See Footnote Series Z Warrants (right to buy) 1.60 2024-04-30 Common Stock 466000 I See Footnote Securities of PAVMed Inc. (the "Issuer") held directly by The Sirovich Family Charitable Foundation (the "Sirovich Foundation"). Matthew Sirovich is a Director and President of the Sirovich Foundation and may be deemed to beneficially own the securities of the Issuer held by the Sirovich Foundation. Securities of the Issuer held directly by The Boomer Fund, L.P. ("Boomer"). Mr. Sirovich is the general partner of Boomer and may be deemed to beneficially own the securities of the Issuer held by Boomer. The Series S Warrants cannot be exercised if following such exercise Mr. Sirovich would beneficially own greater than 4.75% of the outstanding shares of the Issuer's common stock and therefore none of the Series S Warrants are currently exercisable. The Series Z Warrants were exercisable upon issuance. /s/ Matthew Sirovich 2018-06-25