0001209191-17-035921.txt : 20170526
0001209191-17-035921.hdr.sgml : 20170526
20170526170546
ACCESSION NUMBER: 0001209191-17-035921
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170524
FILED AS OF DATE: 20170526
DATE AS OF CHANGE: 20170526
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Senseonics Holdings, Inc.
CENTRAL INDEX KEY: 0001616543
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 471210911
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
BUSINESS PHONE: (301) 515-7260
MAIL ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
FORMER COMPANY:
FORMER CONFORMED NAME: ASN Technologies, Inc.
DATE OF NAME CHANGE: 20140813
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Prince Douglas S
CENTRAL INDEX KEY: 0001666995
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 17874806
MAIL ADDRESS:
STREET 1: 20 TILESTON STREET, PH4
CITY: BOSTON
STATE: MA
ZIP: 02113
FORMER NAME:
FORMER CONFORMED NAME: Price Douglas S
DATE OF NAME CHANGE: 20160216
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-24
0
0001616543
Senseonics Holdings, Inc.
SENS
0001666995
Prince Douglas S
20451 SENECA MEADOWS PARKWAY
GERMANTOWN
MD
20876-7005
1
0
0
0
Stock Option (right to buy)
1.35
2017-05-24
4
A
0
128817
0.00
A
2027-05-23
Common Stock
128817
128817
D
The exercise price is equal to the closing price of the Issuer's common stock on the NYSE-MKT on the date of grant, May 24, 2017.
This grant was made as compensation for the reporting person's service on the Issuer's board of directors. Under the Issuer's non-employee director compensation policy, each non-employee director who continues to serve as a member of the Issuer's board of directors is eligible to receive an annual stock option grant following each annual meeting of the Issuer's stockholders. The number of shares underlying the option is equal to a Black Scholes option value of $106,500.
The shares underlying the option will vest in full on the one year anniversary of the date of grant, subject to the reporting person's continuous service through the vesting date.
/s/ Darren K. DeStefano, Attorney-in-fact
2017-05-26