0001209191-17-055938.txt : 20171004
0001209191-17-055938.hdr.sgml : 20171004
20171004172857
ACCESSION NUMBER: 0001209191-17-055938
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171002
FILED AS OF DATE: 20171004
DATE AS OF CHANGE: 20171004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JAIN Mukul
CENTRAL INDEX KEY: 0001667593
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 171122586
MAIL ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-10-02
0
0001616543
Senseonics Holdings, Inc.
SENS
0001667593
JAIN Mukul
20451 SENECA MEADOWS PARKWAY
GERMANTOWN
MD
20876-7005
0
1
0
0
Chief Operating Officer
Common Stock
2017-10-02
4
M
0
11885
0.54
A
11885
D
Common Stock
2017-10-02
4
S
0
11885
3.25
D
0
D
Stock option (right to buy)
0.54
2017-10-02
4
M
0
11885
0.00
D
2022-03-12
Common Stock
11885
27437
D
The option exercise and sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the record holder of the securities on December 7, 2016.
This transaction was executed in multiple trades at prices ranging from $3.25 to $3.27, inclusive. The price reported in Column 4 is a weighted
average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the Issuer or a security holder of the Issuer full
information regarding the number of shares and prices at which the transactions were effected.
25% of the shares vested on January 3, 2013 and the remaining shares vested monthly over three years.
/s/ Darren DeStefano, Attorney-in-Fact
2017-10-04