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