-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GagzeiQDWUFYTxIwoWv0jzRceIiqb+HsLS51aOH34ZicMstlZOP2s4dvFZh5gq3j QxBJtgYFlN2K4O2PeqaQfQ== 0001181431-07-070724.txt : 20071120 0001181431-07-070724.hdr.sgml : 20071120 20071120114015 ACCESSION NUMBER: 0001181431-07-070724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071120 FILED AS OF DATE: 20071120 DATE AS OF CHANGE: 20071120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EnteroMedics Inc CENTRAL INDEX KEY: 0001371217 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 MAIL ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLINGENSTEIN PAUL H CENTRAL INDEX KEY: 0000935463 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33818 FILM NUMBER: 071258816 BUSINESS ADDRESS: STREET 1: ACCEL PARTNERS STREET 2: 428 UNIVERSITY AVE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: 6506144800 MAIL ADDRESS: STREET 1: 428 UNIVERSITY AVE STREET 2: C/O ACCEL PARTNERS CITY: PALO ALTO STATE: CA ZIP: 94301 4 1 rrd178268.xml KLINGENSTEIN FORM 4 CONVERSION X0202 4 2007-11-20 0 0001371217 EnteroMedics Inc ETRM 0000935463 KLINGENSTEIN PAUL H 428 UNIVERSITY AVE C/O ACCEL PARTNERS PALO ALTO CA 94301 1 0 1 0 Common Stock 2007-11-20 4 C 0 58091 A 58091 D Common Stock 2007-11-20 4 C 0 26934 A 29704 I See below Common Stock 2007-11-20 4 C 0 1188058 A 1310288 I See below Common Stock 2007-11-20 4 C 0 237254 A 362254 I See below Series B Preferred Stock 2007-11-20 4 C 0 21607 0 D Common Stock 21607 0 I See below Series B Preferred Stock 2007-11-20 4 C 0 952972 0 D Common Stock 952972 0 I See below Series B Preferred Stock 2007-11-20 4 C 0 38853 0 D Common Stock 38853 0 D Series C Preferred Stock 2007-11-20 4 C 0 5327 0 D Common Stock 5327 0 I See below Series C Preferred Stock 2007-11-20 4 C 0 235086 0 D Common Stock 235086 0 I See below Series C Preferred Stock 2007-11-20 4 C 0 19238 0 D Common Stock 19238 0 D Series C Preferred Stock 2007-11-20 4 C 0 237254 0 D Common Stock 237254 0 I See below Common Stock Warrant 0.46 2010-12-12 Common Stock 937 937 I See below Common Stock Warrant 0.46 2010-12-12 Common Stock 41293 41293 I See below Common Stock Warrant 0.46 2010-12-12 Common Stock 1684 1684 D The convertible preferred stock automatically converted one-to-one into common stock upon completion of the initial public offering. Represents shares held by Aberdare Ventures II (Bermuda), L.P. Mr. Klingenstein is a managing partner of Aberdare Ventures II (Bermuda), L.P. and disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. Represents shares held by Aberdare Ventures II, L.P. Mr. Klingenstein is a managing partner of Aberdare Ventures II, L.P. and disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. Represents shares held by Aberdare II Annex Fund, L.P. Mr. Klingenstein is a managing partner of Aberdare II Annex Fund, L.P. and disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. Immediately exercisable. /s/ Paul Klingenstein 2007-11-20 -----END PRIVACY-ENHANCED MESSAGE-----