0001209191-13-043282.txt : 20130905
0001209191-13-043282.hdr.sgml : 20130905
20130905184037
ACCESSION NUMBER: 0001209191-13-043282
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130903
FILED AS OF DATE: 20130905
DATE AS OF CHANGE: 20130905
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SafeStitch Medical, Inc.
CENTRAL INDEX KEY: 0000876378
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 112962080
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4400 BISCAYNE BLVD.
STREET 2: SUITE A-100
CITY: MIAMI
STATE: FL
ZIP: 33137
BUSINESS PHONE: 305-575-4600
MAIL ADDRESS:
STREET 1: 4400 BISCAYNE BLVD.
STREET 2: SUITE A-100
CITY: MIAMI
STATE: FL
ZIP: 33137
FORMER COMPANY:
FORMER CONFORMED NAME: CELLULAR TECHNICAL SERVICES CO INC
DATE OF NAME CHANGE: 19930328
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Starling William N JR
CENTRAL INDEX KEY: 0001324130
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19437
FILM NUMBER: 131081441
MAIL ADDRESS:
STREET 1: 2300 BUCKSKIN ROAD
CITY: POCATELLO
STATE: ID
ZIP: 83201
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-09-03
0
0000876378
SafeStitch Medical, Inc.
SFES.OB
0001324130
Starling William N JR
3284 ALPINE ROAD
PORTOLA VALLEY
CA
94028
1
0
0
0
Series B Preferred Stock
0.40
2013-09-03
4
P
0
866234.4
4.00
A
Common Stock
8662344
866234.4
I
Synergy Life Science Partners, L.P.
On September 3, 2013, SafeStitch Medical, Inc. (the "Issuer") sold and issued to Synergy Life Science Partners, L.P., in a privately negotiated transaction pursuant to a securities purchase agreement, an aggregate of 866,234.4 shares of the Issuer's Series B convertible preferred stock at a purchase price of $4.00 per share. Upon the filing of an Amendment to the Issuer's Certificate of Incorporation with the State of Delaware, each share of the Issuer's Series B convertible preferred stock will automatically convert into ten (10) shares of the Issuer's common stock.
The Series B Preferred Stock has no expiration date.
The Reporting Person is a Manager of Synergy Venture Partners, LLC which serves as the sole General Partner of Synergy Life Science Partners, LP ("Synergy"). As such, the Reporting Person shares voting and investment control over the securities owned by Synergy, and may be deemed to own beneficially the securities held by Synergy. The Reporting Person disclaims beneficial ownership of the shares held by Synergy except to the extent of this proportionate pecuniary interest therein.
/s/ William N. Starling, Jr.
2013-09-03