0001209191-17-038273.txt : 20170607
0001209191-17-038273.hdr.sgml : 20170607
20170607160505
ACCESSION NUMBER: 0001209191-17-038273
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170601
FILED AS OF DATE: 20170607
DATE AS OF CHANGE: 20170607
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Senseonics Holdings, Inc.
CENTRAL INDEX KEY: 0001616543
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 471210911
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
BUSINESS PHONE: (301) 515-7260
MAIL ADDRESS:
STREET 1: 20451 SENECA MEADOWS PARKWAY
CITY: GERMANTOWN
STATE: MD
ZIP: 20876
FORMER COMPANY:
FORMER CONFORMED NAME: ASN Technologies, Inc.
DATE OF NAME CHANGE: 20140813
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROCHE HOLDING LTD
CENTRAL INDEX KEY: 0000889131
STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 8880 [8880]
STATE OF INCORPORATION: V8
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 17897315
BUSINESS ADDRESS:
STREET 1: ROCHE HOLDING, LTD.
STREET 2: GRENZACHERSTRASSE 124
CITY: BASEL
STATE: V8
ZIP: CH-4070
BUSINESS PHONE: 9732354295
MAIL ADDRESS:
STREET 1: ROCHE HOLDING, LTD.
STREET 2: GRENZACHERSTRASSE 124
CITY: BASEL
STATE: V8
ZIP: CH-4070
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROCHE FINANCE LTD
CENTRAL INDEX KEY: 0001053942
STATE OF INCORPORATION: V8
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37717
FILM NUMBER: 17897316
BUSINESS ADDRESS:
STREET 1: C/O HOFFMAN LA ROCHE
STREET 2: 124 GRENSACHERSTRASSE CH 4002
CITY: BASEL SWITZERLAND
STATE: V8
MAIL ADDRESS:
STREET 1: C/O HOFFMAN LA ROCHE
STREET 2: 124 GRENSACHERSTRASSE CH 4002
CITY: BASEL SWITZERLAND
STATE: V8
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2017-06-01
0
0001616543
Senseonics Holdings, Inc.
SENS
0001053942
ROCHE FINANCE LTD
GRENZACHERSTRASSE 122
BASEL
V8
CH4070
SWITZERLAND
0
0
1
0
0000889131
ROCHE HOLDING LTD
GRENZACHERSTRASSE 124
BASEL
V8
CH4070
SWITZERLAND
0
0
1
0
Common stock
28345275
D
Common stock purchase warrant
1.79
2021-07-15
Common stock
164284
D
Common stock purchase warrant
1.79
2020-11-01
Common stock
809450
D
Roche Finance Ltd is the direct beneficial owner of these securities of the Issuer. Roche Finance Ltd is a wholly owned subsidiary of Roche Holding Ltd. Roche Holding Ltd is the indirect beneficial owner of these securities of the Issuer. Each Reporting Person disclaims beneficial ownership of the securities except to the extent of its pecuniary interest therein, if any. Each Reporting Person also disclaims beneficial ownership of any securities of the Issuer that may be or are beneficially owned by any other person or persons other than such Reporting Person. This Form 4 shall not be deemed an admission that any Reporting Person or other person is a beneficial owner of any securities of the Issuer for any purpose, other than the securities reported in this Form 4.
Immediately exercisable.
Exhibit 24.1 Power of Attorney
/s/ Darren K. DeStefano, Attorney-in-Fact for Roche Finance Ltd
2017-06-07
/s/ Darren K. DeStefano, Attorney-in-Fact for Roche Holding Ltd
2017-06-07
EX-24.3_729644
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
(For Executing Form ID and Forms 3, 4 and 5)
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Darren K. DeStefano, Mark Ballantyne and Jennifer Don of Cooley
LLP, and Timothy T. Goodnow, R. Don Elsey and Rick Sullivan of Sensenonics
Holdings, Inc. (the "Company"), the undersigned's true and lawful
attorneys-in-fact and agents to:
(1) Prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the Securities and Exchange Commission (the "SEC") Forms 3, 4 and
5 (including amendments thereto and joint filing agreements in connection
therewith) in accordance with Section 16(a) of the Securities Exchange Act of
1934, as amended (the "Exchange Act") and the rules thereunder in the
undersigned's capacity as an officer, director or beneficial owner of more than
10% of a registered class of securities of the Company;
(2) Do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to prepare and execute any such Form 3, 4 or 5
(including amendments thereto and joint filing agreements in connection
therewith) and file such forms with the SEC and any stock exchange,
self-regulatory association or any similar authority; and
(3) Take any other action of any type whatsoever in connection with the
foregoing that, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required of the undersigned, it being
understood that the documents executed by the attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as the attorney-in-fact may approve in the
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney in fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney in fact, or such attorney
in fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, and their
substitutes, in serving in such capacity at the request of the undersigned, are
not assuming (nor is the Company assuming) any of the undersigned's
responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5
with respect to the undersigned's holdings of and transactions in securities
issued by the Company, (b) revocation by the undersigned in a signed writing
delivered to the Company and the foregoing attorneys-in fact or (c) as to any
attorney-in-fact individually, until such attorney-in-fact is no longer employed
by the Company or Cooley LLP, as applicable.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of the date written below.
Date: 06/01/2017
ROCHE FINANCE LTD
By: /s/ Beat Kraehenmann
Name: Beat Kraehenmann
Title: Authorized Signatory
By: /s/ Carole Nuechterlein
Name: Carole Nuechterlein
Title: Authorized Signatory
ROCHE HOLDING LTD
By: /s/ Beat Kraehenmann
Name: Beat Kraehenmann
Title: Authorized Signatory
By: /s/ Andreas Knierzinger
Name: Andreas Knierzinger
Title: Authorized Signatory