0001104659-15-052627.txt : 20150722 0001104659-15-052627.hdr.sgml : 20150722 20150722173431 ACCESSION NUMBER: 0001104659-15-052627 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150325 FILED AS OF DATE: 20150722 DATE AS OF CHANGE: 20150722 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SteadyMed Ltd. CENTRAL INDEX KEY: 0001619087 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 OPPENHEIMER STREET CITY: REHOVOT STATE: L3 ZIP: 76701 BUSINESS PHONE: 972-3-6449556 MAIL ADDRESS: STREET 1: 5 OPPENHEIMER STREET CITY: REHOVOT STATE: L3 ZIP: 76701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ginor Ron CENTRAL INDEX KEY: 0001637070 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36889 FILM NUMBER: 151000735 MAIL ADDRESS: STREET 1: C/O STEADYMED THERAPEUTICS, INC. STREET 2: 2410 CAMINO RAMON CITY: SAN RAMON STATE: CA ZIP: 94583 4/A 1 a4a.xml 4/A X0306 4/A 2015-03-25 2015-03-25 0 0001619087 SteadyMed Ltd. STDY 0001637070 Ginor Ron C/O STEADYMED THERAPEUTICS, INC. 2603 CAMINO RAMON, SUITE 350 SAN RAMON CA 94583 1 0 0 0 Ordinary Shares 2015-03-25 4 C 0 1034102 A 1034102 I See Footnote Ordinary Shares 2015-03-25 4 A 0 41000 8.5 A 1075102 I See Footnote Ordinary Shares 2015-03-25 4 C 0 16298 A 16298 I See Footnote Ordinary Shares 2015-03-25 4 C 0 94643 A 94643 I See Footnote Ordinary Shares 2015-03-25 4 J 0 10663 0.01 A 105306 I See Footnote Series A-2 Convertible Preferred Shares 2015-03-25 4 C 0 198393 6.62 D Ordinary Shares 198393 0 I See Footnote Series B Convertible Preferred Shares 2015-03-25 4 C 0 286944 4.07 D Ordinary Shares 286944 0 I See Footnote Series D Convertible Preferred Shares 2015-03-25 4 C 0 151791 6.14 D Ordinary Shares 151791 0 I See Footnote Series E Convertible Preferred Shares 2015-03-25 4 C 0 396974 8.49 D Ordinary Shares 396974 0 I See Footnote Series D Convertible Preferred Shares 2015-03-25 4 C 0 16298 6.14 D Ordinary Shares 16298 0 I See Footnote Series E Convertible Preferred Shares 2015-03-25 4 C 0 94643 8.49 D Ordinary Shares 94643 0 I See Footnote Warrant to Purchase Series E Preferred Shares 0.01 2015-03-25 4 J 0 10664 0 D 2021-02-17 Ordinary Shares 10664 0 I See Footnote Such preferred shares converted into that number of Issuer's ordinary shares disclosed above at the closing of a Qualified IPO (as defined in the Issuer's Ninth Amended and Restated Articles of Association dated March 1, 2015). By Samson Venture Partners I, LLC. Samson Venture Partners, LLC is the Manager and the Reporting Person is a Co-Manager of Samson Venture Partners, LLC. By Randsburg Capital, LLC. Reporting Person is a Co-Manager of Randsburg Capital, LLC. By Iron Capital I, LLC. Iron Capital, LLC is the Manager and the Reporting Person is the Sole Manager of Iron Capital, LLC. The Reporting Person exercised this warrant on a cashless basis, resulting in the Issuer withholding 1 share subject to the warrant to pay for the exercise price. Upon exercise the Reporting Person acquired 10,663 shares. The shares do not have an expiration date. This Form 4/A amends the Form 4 filed by the Reporting Person on March 25, 2015 to include the securities held by and transactions with respect to Iron Capital I, LLC and Randsburg Capital, LLC. /s/Ron Ginor 2015-07-20