Filing Details

Accession Number:
0001209191-15-042302
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-13 16:36:29
Reporting Period:
2015-05-11
Filing Date:
2015-05-13
Accepted Time:
2015-05-13 16:36:29
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
1623206 D. Lawrence Senour One Merck Drive
Po Box 1000
Whitehouse Station NJ 08889
No No Yes No
1623584 Merck Capital Ventures Llc One Merck Drive
P.o. Box 1000
Whitehouse Station NJ 08889
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 2015-05-11 125,327 $0.00 125,327 No 4 C Direct
Common Stock Acquisiton 2015-05-11 90,494 $0.00 215,821 No 4 C Direct
Common Stock Acquisiton 2015-05-11 192,373 $0.00 408,194 No 4 C Direct
Common Stock Acquisiton 2015-05-11 70,898 $0.00 479,092 No 4 C Direct
Common Stock Acquisiton 2015-05-11 1,963 $0.00 481,055 No 4 C Direct
Common Stock Acquisiton 2015-05-11 55,377 $14.00 536,432 No 4 J Direct
Common Stock Acquisiton 2015-05-11 52,929 $0.00 589,361 No 4 J Direct
Common Stock Acquisiton 2015-05-11 167,343 $14.00 756,704 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 C Direct
No 4 C Direct
No 4 C Direct
No 4 C Direct
No 4 J Direct
No 4 J Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series C-1 Convertible Preferred Stock Disposition 2015-05-11 8,670,520 $0.00 125,327 $0.00
Common Stock Series C-2 Convertible Preferred Stock Disposition 2015-05-11 9,601,924 $0.00 90,494 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2015-05-11 20,658,958 $0.00 192,373 $0.00
Common Stock Series E Convertible Preferred Stock Disposition 2015-05-11 7,613,826 $0.00 70,898 $0.00
Series D Convertible Preferred Stock Series D Convertible Preferred Stock Warrant (right to buy) Disposition 2015-05-11 210,893 $0.00 210,893 $0.00
Common Stock Series D Convertible Preferred Stock Acquisiton 2015-05-11 210,893 $0.00 1,963 $0.00
Common Stock Series D Convertible Preferred Stock Disposition 2015-05-11 210,893 $0.00 1,963 $0.00
Series E Convertible Preferred Stock Series E Convertible Preferred Stock Warrant (right to buy) Disposition 2015-05-11 1,818,681 $0.00 1,818,681 $0.22
Common Stock Common Warrant (right to buy) Acquisiton 2015-05-11 28,436 $0.00 28,436 $14.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Direct
0 No 4 C Direct
0 No 4 C Direct
0 2010-07-30 2020-07-29 No 4 X Direct
210,893 No 4 X Direct
0 No 4 C Direct
0 2015-01-14 2022-01-14 No 4 C Direct
28,436 2015-01-14 2022-01-14 No 4 C Direct
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. The warrant was net exercised for shares of common stock upon the closing of the Issuer's initial public offering.
  3. Represents the conversion of outstanding promissory notes in the principal amount of $767,719.83, 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.
  4. 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.
  5. The shares were purchased at the Issuer's initial public offering.
  6. The shares of Series D Convertible Preferred Stock have no expiration date and are convertible at any time at the election of the holder without payment of further consideration. Each share of Series D Convertible Preferred Stock will automatically convert on a 1 for 107.39 basis into shares of Common Stock upon the closing of the Issuer's initial public offering.
  7. 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.