0001104659-22-091084.txt : 20220815 0001104659-22-091084.hdr.sgml : 20220815 20220815135730 ACCESSION NUMBER: 0001104659-22-091084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220811 FILED AS OF DATE: 20220815 DATE AS OF CHANGE: 20220815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wu David James CENTRAL INDEX KEY: 0001827421 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39616 FILM NUMBER: 221164700 MAIL ADDRESS: STREET 1: 411 FIRST AVENUE SOUTH, SUITE 600 CITY: SEATTLE STATE: WA ZIP: 98104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eargo, Inc. CENTRAL INDEX KEY: 0001719395 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 273879804 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2665 NORTH FIRST STREET STREET 2: SUITE 300 CITY: SAN JOSE STATE: CA ZIP: 95134 BUSINESS PHONE: 650-351-7700 MAIL ADDRESS: STREET 1: 2665 NORTH FIRST STREET STREET 2: SUITE 300 CITY: SAN JOSE STATE: CA ZIP: 95134 4 1 tm2223425d1_4.xml OWNERSHIP DOCUMENT X0306 4 2022-08-11 0 0001719395 Eargo, Inc. EAR 0001827421 Wu David James C/O MAVERON LLC 411 FIRST AVENUE SOUTH, SUITE 600 SEATTLE WA 98104 1 0 0 0 Common Stock 2022-08-11 4 S 0 10120 0.9508 D 1542259 I See Footnote Common Stock 2022-08-11 4 J 0 1542259 0 D 0 I See Footnote Common Stock 2022-08-11 4 J 0 11910 0 A 11910 I See Footnote Common Stock 2022-08-11 4 J 0 11910 0 D 0 I See Footnote Common Stock 2022-08-11 4 J 0 1694 0 A 1694 D Common Stock 2022-08-11 4 J 0 17454 0 A 19148 D Consists of 9,068 shares held by Maveron Equity Partners IV, L.P. ("MEP IV"), 294 shares held by Maveron IV Entrepreneurs' Fund, L.P. ("Entrepreneurs Fund IV"), and 758 shares held by MEP Associates IV, L.P. ("Associates Fund IV"). The Reporting Person is a partner at Maveron LLC, which is affiliated with MEP IV, Entrepreneurs Fund IV and Associates Fund IV, and disclaims beneficial ownership of all applicable shares except to the extent of his actual pecuniary interest in such shares. The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions at prices ranging from $0.95 to $0.956, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of securities sold at each separate price within the ranges set forth in this footnote (1) to this Form 4. Consists of 1,059,614 shares held by Maveron Equity Partners V, L.P. ("MEP V"), 131,398 shares held by Maveron V Entrepreneurs' Fund, L.P. ("Entrepreneurs Fund V"), and 351,247 shares held by MEP Associates V, L.P. ("Associates Fund V"). The Reporting Person is a partner at Maveron LLC, which is affiliated with MEP V, Entrepreneurs Fund V and Associates Fund V, and disclaims beneficial ownership of all applicable shares except to the extent of his actual pecuniary interest in such shares. MEP V, Entrepreneurs Fund V, and Associates Fund V made pro rata distributions for no consideration of 1,059,614 shares, 131,398 shares, and 351,247 shares, respectively, of common stock of the Issuer to its respective partners on August 11, 2022. Shares are owned directly by MEP V, Entrepreneurs Fund V, and Associates Fund V. The Reporting Person is a partner at Maveron LLC, which is affiliated with MEP V, Entrepreneurs Fund V and Associates Fund V, and disclaims beneficial ownership of all applicable shares except to the extent of his actual pecuniary interest in such shares. Shares acquired by Maveron General Partner V, LLC ("Maveron GP V") in connection with the distribution of such shares to the partners of MEP V and Entrepreneurs Fund V. Shares are owned directly by Maveron GP V. The Reporting Person is a partner at Maveron LLC, which is affiliated with Maveron GP V, and disclaims beneficial ownership of all applicable shares except to the extent of his actual pecuniary interest in such shares. Maveron GP V made pro rata distributions for no consideration of 11,910 shares of common stock of the Issuer to its partners on August 11, 2022. Shares acquired by Wu Family Trust, dtd 5/16/08 and Wu 2015 Irrevocable Trust dtd 3/31/15, the holding of which are attributable to the Reporting Person, in connection with the distribution of such shares to the partners of Maveron GP V on August 11, 2022. Shares are held by Wu Family Trust, dtd 5/16/08 and Wu 2015 Irrevocable Trust dtd 3/31/15, the holding of which are attributable to the Reporting Person. Shares acquired by Wu Family Trust, dtd 5/16/08 and Wu 2015 Irrevocable Trust dtd 3/31/15, the holding of which are attributable to the Reporting Person, in connection with the distribution of such shares to the partners of Entrepreneurs Fund V on August 11, 2022. /s/ David James Wu 2022-08-15