Filing Details

Accession Number:
0001209191-15-042266
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-13 16:20:26
Reporting Period:
2015-05-11
Filing Date:
2015-05-13
Accepted Time:
2015-05-13 16:20:26
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1169987 Htg Molecular Diagnostics Inc HTGM Laboratory Analytical Instruments (3826) 860912294
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1384327 Fsv Ii Lp 222 Berkeley Street
Boston MA 02116
No No Yes No
1384348 Fletcher Spaght Ventures Ii Lp 222 Berkeley Street
Boston MA 02116
No No Yes No
1433420 Fsv Ii-B Lp 222 Berkeley Street
Boston MA 02116
No No Yes 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 2015-05-11 246,727 $0.00 246,727 No 4 C Indirect By entities affiliatd with Fletcher Spaght Ventures
Common Stock Acquisiton 2015-05-11 56,718 $0.00 303,445 No 4 C Indirect By entities affiliated with Fletcher Spaght Ventures
Common Stock Acquisiton 2015-05-11 44,301 $14.00 347,746 No 4 J Indirect By entities affiliated with Fletcher Spaght Ventures
Common Stock Acquisiton 2015-05-11 68,404 $0.00 416,150 No 4 J Indirect By entities affiliated with Fletcher Spaght Ventures
Common Stock Acquisiton 2015-05-11 102,445 $14.00 518,595 No 4 P Indirect By entities affiliated with Fletcher Spaght Ventures
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By entities affiliatd with Fletcher Spaght Ventures
No 4 C Indirect By entities affiliated with Fletcher Spaght Ventures
No 4 J Indirect By entities affiliated with Fletcher Spaght Ventures
No 4 J Indirect By entities affiliated with Fletcher Spaght Ventures
No 4 P Indirect By entities affiliated with Fletcher Spaght Ventures
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series D Convertible Preferred Stock Disposition 2015-05-11 26,496,116 $0.00 246,727 $0.00
Common Stock Series E Convertible Preferred Stock Disposition 2015-05-11 6,091,062 $0.00 56,718 $0.00
Series E Convertible Preferred Stock Series E Convertible Preferred Stock Warrants (right to buy) Disposition 2015-05-11 1,358,988 $0.00 1,358,988 $0.22
Common Stock Common Warrants (right to buy) Acquisiton 2015-05-11 21,246 $0.00 21,246 $14.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 2015-01-14 2022-01-14 No 4 C Indirect
21,246 2015-01-14 2022-01-14 No 4 C Indirect
Footnotes
  1. Automatic conversion, in connection with the Issuer's initial public offering, of preferred stock into shares of common stock on a 1 for 107.39 basis, after accounting for any applicable antidilution adjustments. The shares have no expiration date.
  2. Shares held as follows: 156,453 by Fletcher Spaght Ventures II, L.P.; 74,519 by FSV II-B, L.P. and 15,755 by FSV II, L.P.
  3. Shares held as follows: 35,966 by Fletcher Spaght Ventures II, L.P., 17,130 shares by FSV II-B, L.P. and 3,622 by FSV II, L.P.
  4. Represents the conversion of outstanding promissory notes in the principal amount of $614,176.05, plus accrued interest, into shares of the Issuer's common stock upon closing of the Issuer's initial public offering at a conversion price of $14.00 per share held as follows: $389,456.40 held by Fletcher Spaght Ventures II, L.P., $185,498.94 held by FSV II-B, L.P. and $39,220.71 held by FSV II, L.P.
  5. Shares held as follows: 28,092 by Fletcher Spaght Ventures II, L.P., 13,380 by FSV II-B, L.P. and 2,829 by FSV II, L.P.
  6. On April 23, 2015, the Board of Directors of the Issuer declared a dividend payable to all holders of the Series D Convertible Preferred Stock and Series E Convertible Preferred Stock of the Issuer payable in the form of shares of Common Stock of the Issuer. The dividends were issued in connection with the closing of the Issuer's initial public offering.
  7. Shares held as follows: 43,379 by Fletcher Spaght Ventures II, L.P., 20,660 by FSV II-B, L.P. and 4,365 by FSV II, L.P.
  8. The shares were purchased at the Issuer's initial public offering.
  9. Shares held as follows: 64,962 by Fletcher Spaght Ventures II, L.P., 30,941 by FSV II-B, L.P. and 6,542 by FSV II, L.P.
  10. Pursuant to the terms of the warrant, effective upon the closing of the Issuer's initial public offering, the warrant became exercisable for the number of shares of common stock shown above at an exercise price equal to $14.00 per share.
  11. Consists of warrants to purchase shares of Series E Convertible Preferred Stock as follows: 861,751 issued to Fletcher Spaght Ventures II, L.P., 410,454 issued to FSV II-B, L.P. and 86,783 issued to FSV II, L.P.
  12. Consists of warrants to purchase shares of Common Stock as follows: 13,473 issued to Fletcher Spaght Ventures II, L.P., 6,417 issued to FSV II-B, L.P. and 1,356 issued to FSV II, L.P.