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