0001437749-17-003689.txt : 20170302 0001437749-17-003689.hdr.sgml : 20170302 20170302174556 ACCESSION NUMBER: 0001437749-17-003689 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170301 FILED AS OF DATE: 20170302 DATE AS OF CHANGE: 20170302 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BioCardia, Inc. CENTRAL INDEX KEY: 0000925741 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 232753988 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 125 SHOREWAY ROAD STREET 2: SUITE B CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 650-226-0123 MAIL ADDRESS: STREET 1: 125 SHOREWAY ROAD STREET 2: SUITE B CITY: SAN CARLOS STATE: CA ZIP: 94070 FORMER COMPANY: FORMER CONFORMED NAME: Tiger X Medical, Inc. DATE OF NAME CHANGE: 20110616 FORMER COMPANY: FORMER CONFORMED NAME: Cardo Medical, Inc. DATE OF NAME CHANGE: 20081027 FORMER COMPANY: FORMER CONFORMED NAME: CLICKNSETTLE COM INC DATE OF NAME CHANGE: 20000823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STERTZER SIMON H CENTRAL INDEX KEY: 0001031689 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21419 FILM NUMBER: 17660359 MAIL ADDRESS: STREET 1: C/O BIOCARDIA, INC. STREET 2: 125 SHOREWAY DRIVE, SUITE B CITY: SAN CARLOS STATE: CA ZIP: 94070 4 1 rdgdoc.xml FORM 4 X0306 4 2017-03-01 0000925741 BioCardia, Inc. BCDA 0001031689 STERTZER SIMON H C/O BIOCARDIA, INC. 125 SHOREWAY ROAD, SUITE B SAN CARLOS CA 94070 1 Common Stock 2017-03-01 4 P 0 100000 0.6415 A 4916171 I See footnote Common Stock 31039310 I See footnote Common Stock 1258925 I See footnote Common Stock 5386743 I See footnote These shares are held by Windrock Enterprises L.L.C., of which the Reporting Person and his spouse are sole members and managers. These shares are held by the Stertzer Family Trust, of which the Reporting Person and his spouse are co-trustees. These shares are held by the Stertzer Gamma Trust, of which the Reporting Person is the grantor. These shares are held by Stertzer Holdings LLC, and the Reporting Person may be deemed to have beneficial ownership of such shares. /s/ Peter Altman, by power of attorney 2017-03-02