0001225208-17-016390.txt : 20171018 0001225208-17-016390.hdr.sgml : 20171018 20171018145950 ACCESSION NUMBER: 0001225208-17-016390 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171016 FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171018 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: 171142552 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 X0306 4 2017-10-16 0001409269 Restoration Robotics Inc HAIR 0000879051 SUTTER HILL VENTURES 755 PAGE MILL ROAD, SUITE A-200 PALO ALTO CA 94304-1005 1 Common Stock 2017-10-16 4 C 0 888690.0000 0 A 888690.0000 D Common Stock 2017-10-16 4 C 0 606386.0000 0 A 1495076.0000 D Common Stock 2017-10-16 4 C 0 479145.0000 0 A 1974221.0000 D Common Stock 2017-10-16 4 C 0 105369.0000 7.0000 A 2079590.0000 D Convertible Promissory Note 7.0000 2017-10-16 4 C 0 105369.0000 D Common Stock 105369.0000 0.0000 D Series A Preferred Stock 2017-10-16 4 C 0 479145.0000 D Common Stock 479145.0000 0.0000 D Series B Preferred Stock 2017-10-16 4 C 0 606386.0000 D Common Stock 606386.0000 0.0000 D Series C Preferred Stock 2017-10-16 4 C 0 888690.0000 D Common Stock 888690.0000 0.0000 D The issuer's preferred stock will automatically convert into issuer's common stock on a one-to-one basis immediately prior to the closing of the issuer's initial public offering and has no expiration date. This reported amount represents the number of shares issuable upon the conversion of the principal and accrued interest of the convertible promissory note held by the reporting person. The outstanding principal and accrued interest of the reporting person's convertible promissory note automatically converted 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 initial public offering upon closing of the initial public offering. /s/ Robert Yin, by power of attorney 2017-10-18