0001209191-17-056933.txt : 20171013
0001209191-17-056933.hdr.sgml : 20171013
20171013183103
ACCESSION NUMBER: 0001209191-17-056933
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171011
FILED AS OF DATE: 20171013
DATE AS OF CHANGE: 20171013
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SUTTER HILL VENTURES
CENTRAL INDEX KEY: 0000879051
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38238
FILM NUMBER: 171137330
BUSINESS ADDRESS:
STREET 1: 755 PAGE MILL RD
STREET 2: SUITE A200
CITY: PALO ALTO
STATE: CA
ZIP: 94304
BUSINESS PHONE: 4154935600
MAIL ADDRESS:
STREET 1: 755 PAGE MILL RD
STREET 2: SUITE A200
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Restoration Robotics Inc
CENTRAL INDEX KEY: 0001409269
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 061681204
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 128 BAYTECH DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: 408-883-6888
MAIL ADDRESS:
STREET 1: 128 BAYTECH DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95134
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-10-11
0
0001409269
Restoration Robotics Inc
HAIR
0000879051
SUTTER HILL VENTURES
755 PAGE MILL ROAD, SUITE A-200
PALO ALTO
CA
94304-1005
0
0
1
0
Convertible Promissory Note
7.00
2017-10-11
4
J
0
733569.00
733569.00
A
Common Stock
733569.00
D
The Subordinated Convertible Promissory Note (the "Note") was originally acquired from the issuer on September 6, 2017. The conversion price was set upon the pricing of the issuer's initial public offering (the "IPO").
The amount reported represents the principal amount of the reporting person's Note only. Accrued interest of 5% per year based on the actual number of days elapsed through the conversion date will also convert into shares of the issuer's common stock.
The outstanding principal and accrued interest of the Note automatically converts into shares of the Issuer's Common Stock at the price per share available to the public as set forth in the final prospectus related to the IPO upon the closing of the IPO; if not so converted, the Note has a maturity date of September 6, 2018, at which time it will automatically convert into shares of the Issuer's capital stock.
/s/Robert Yin, by power of attorney
2017-10-13