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Filing Details

Accession Number:: 0001235802-15-000017
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2015-02-04 17:19:42
Reporting Period:: 2015-02-03

Filing Date:: 2015-02-04
Accepted Time:: 2015-02-04 17:19:42
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1374128	Entellus Medical Inc	ENTL	Surgical & Medical Instruments & Apparatus (3841)	204627978

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1295356	Split Rock Partners Management Llc	10400 Viking Dr Suite 250 Eden Prairie MN 55344		No	No	Yes	No
1327518	Split Rock Partners, Lp	10400 Viking Dr Suite 250 Eden Prairie MN 55344		No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership
Common Stock	Acquisiton	2015-02-03	300,000	$0.00	300,000	No	4	C	Direct
Common Stock	Acquisiton	2015-02-03	621,547	$0.00	921,547	No	4	C	Direct
Common Stock	Acquisiton	2015-02-03	250,876	$0.00	1,172,423	No	4	C	Direct
Common Stock	Acquisiton	2015-02-03	688,508	$0.00	1,860,931	No	4	C	Direct
Common Stock	Acquisiton	2015-02-03	942,859	$0.00	2,803,790	No	4	C	Direct
Common Stock	Acquisiton	2015-02-03	352,941	$17.00	3,156,731	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct
No	4	P	Direct

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Series A Convertible Preferred Stock	Disposition	2015-02-03	1,200,000	$0.00	300,000	$0.00
Common Stock	Series B Convertible Preferred Stock	Disposition	2015-02-03	2,486,188	$0.00	621,547	$0.00
Common Stock	Series C Convertible Preferred Stock	Disposition	2015-02-03	743,466	$0.00	250,876	$0.00
Common Stock	Series D Convertible Preferred Stock	Disposition	2015-02-03	2,754,034	$0.00	688,508	$0.00
Common Stock	Series E Convertible Preferred Stock	Disposition	2015-02-03	3,771,438	$0.00	942,859	$0.00

Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct
No	4	C	Direct

Footnotes

Reflects a 1-for-4 reverse stock split effected as of January 12, 2015.
Each outstanding share of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock automatically converted into 1/4 of a share of the Issuer's common stock, immediately prior to the closing of the Issuer's initial public offering, for no additional consideration (subject to payment of cash for any fractional shares, in accordance with the Issuer's certificate of incorporation). These shares had no expiration date.
The securities are owned directly by Split Rock Partners, LP ("SRP"). Voting and investment power over the securities is delegated to Split Rock Partners Management, LLC ("SRPM"), the general partner of SRP. SRPM has delegated voting and investment decisions to Michael Gorman, James Simons and David Stassen (collectively, the "General Partner Designees"), who require a two-thirds vote to act. Each of the General Partner Designees disclaims beneficial ownership of the securities except to the extent of any pecuniary interest therein.
Each outstanding share of Series C Convertible Preferred Stock automatically converted into 0.3374 of a share of the Issuer's common stock, immediately prior to the closing of the Issuer's initial public offering, for no additional consideration (subject to payment of cash for any fractional shares, in accordance with the Issuer's certificate of incorporation). These shares had no expiration date.