0001144204-16-132385.txt : 20161108 0001144204-16-132385.hdr.sgml : 20161108 20161108150741 ACCESSION NUMBER: 0001144204-16-132385 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161104 FILED AS OF DATE: 20161108 DATE AS OF CHANGE: 20161108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRATED SURGICAL SYSTEMS INC CENTRAL INDEX KEY: 0000894871 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 680232575 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 WILSHIRE BLVD., STREET 2: 12TH FLOOR CITY: SANTA MONICA, STATE: CA ZIP: 90401 BUSINESS PHONE: 310-526-5000 MAIL ADDRESS: STREET 1: 401 WILSHIRE BLVD., STREET 2: 12TH FLOOR CITY: SANTA MONICA, STATE: CA ZIP: 90401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARLETT CHRISTOPHER A CENTRAL INDEX KEY: 0000897744 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12471 FILM NUMBER: 161981027 MAIL ADDRESS: STREET 1: 100 WILSHIRE BLVD CITY: SANTA MONICA STATE: CA ZIP: 90401 4 1 v452535_4.xml OWNERSHIP DOCUMENT X0306 4 2016-11-04 0 0000894871 INTEGRATED SURGICAL SYSTEMS INC ISSM 0000897744 MARLETT CHRISTOPHER A 2425 CEDAR SPRINGS ROAD DALLAS TX 75201 1 0 1 0 Common Stock 2016-01-11 4 A 0 41667 0.15 A 2745564 D Common Stock 2016-04-12 4 A 0 39063 .16 A 2784627 D Common Stock 2016-07-11 4 A 0 39063 .16 A 2823690 D Common Stock 2016-10-04 4 A 0 31251 .20 A 2854941 D Warrant .20 2016-11-04 4 A 0 292402 0 A 2016-11-04 2021-11-04 Common Stock 292402 292402 D Warrant .20 2016-11-04 4 A 0 584803 0 A 2016-11-04 2021-11-04 Common Stock 584803 877205 I See Footnote Include 827,541 shares held by Christopher A. Marlett Living Trust and 1,027,541 shares held by Christopher A. Marlett IRA. The record holder of these securities is MDB Capital Group LLC ("MDB"). The reporting person is the Chief Executive Officer of MDB. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be an admission of beneficial ownership of all the reported securities for purposes of Section 16 or any other purposes. /s/ Christopher A. Marlett 2016-11-08