Filing Details

Accession Number:
0001144204-13-033221
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-06-04 16:30:05
Reporting Period:
2013-05-31
Filing Date:
2013-06-04
Accepted Time:
2013-06-04 16:30:05
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1230355 Baxano Surgical Inc. BAXS Surgical & Medical Instruments & Apparatus (3841) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1372396 M James Shapiro C/O Baxano Surgical, Inc.
110 Horizon Drive, Suite 230
Raleigh NC 27615
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2013-05-31 14,129 $2.28 15,734 No 4 P Indirect Kearny Venture Partners Entrepreneurs' Fund, L.P.
Common Stock Acquisiton 2013-05-31 692,711 $2.28 771,406 No 4 P Indirect Kearny Venture Partners, L.P.
Common Stock Acquisiton 2013-05-31 24,878 $0.00 40,612 No 4 J Indirect Kearny Venture Partners Entrepreneurs' Fund, L.P.
Common Stock Acquisiton 2013-05-31 1,219,856 $0.00 1,991,262 No 4 J Indirect Kearny Venture Partners, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Kearny Venture Partners Entrepreneurs' Fund, L.P.
No 4 P Indirect Kearny Venture Partners, L.P.
No 4 J Indirect Kearny Venture Partners Entrepreneurs' Fund, L.P.
No 4 J Indirect Kearny Venture Partners, L.P.
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 1,029,545 Indirect Thomas Weisel Healthcare Venture Partners, L.P.
Footnotes
  1. The reportable securities are owned directly by Kearny Venture Partners Entrepreneurs' Fund, L.P. Mr. Shapiro is a managing member of Kearny Venture Associates, L.L.C., which is the general partner of Kearny Venture Partners Entrepreneurs' Fund, L.P., and has shared voting and dispositive power with respect to the shares held by Kearny Venture Partners Entrepreneurs' Fund, L.P. Mr. Shapiro disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. Also includes 1,605 shares held by Kearny Venture Partners Entrepreneurs' Fund, L.P. previously reported as being held by Kearny Venture Partners, L.P.
  2. The reportable securities are owned directly by Kearny Venture Partners, L.P. Mr. Shapiro is a managing member of Kearny Venture Associates, L.L.C., which is the general partner of Kearny Venture Partners, L.P., and has shared voting and dispositive power with respect to the shares held by Kearny Venture Partners, L.P. Mr. Shapiro disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein.
  3. Received in exchange for outstanding convertible promissory notes and shares of Series C Preferred Stock of Baxano, Inc. pursuant to the Agreement and Plan of Merger, dated March 3, 2013, by and among TranS1 Inc. (now Baxano Surgical, Inc.), RacerX Acquisition Corp., Baxano, Inc., and Sumeet Jain and David Schulte as Securityholder Representatives, as amended by the First Amendment to Agreement and Plan of Merger, dated April 10, 2013, by and among the parties.
  4. The reportable securities are owned directly by Thomas Weisel Healthcare Venture Partners, L.P. ("TWHVP"). Mr. Shapiro is a managing director of Kearny Venture Capital, L.L.C., the subadvisor to Thomas Weisel Healthcare Venture Partners L.L.C. ("TWHVP LLC"), the general partner of TWHVP, and has shared voting and dispositive power over the shares held by TWHVP. Mr. Shapiro disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein.