Filing Details

Accession Number:
0001493152-18-002414
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-02-21 06:05:16
Reporting Period:
2018-02-16
Accepted Time:
2018-02-21 06:05:16
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1686850 Motus Gi Holdings Inc. MOTS Surgical & Medical Instruments & Apparatus (3841) 814042793
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1726114 E. Gary Jacobs C/O Motus Gi Holdings, Inc.
1301 East Broward Boulevard, 3Rd Floor
Ft. Lauderdale, FL 33301
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, Par Value $0.0001 Per Share Acquisiton 2018-02-16 5,000 $5.00 9,100 No 4 P Direct
Common Stock, Par Value $0.0001 Per Share Acquisiton 2018-02-16 63,289 $0.00 723,856 No 4 C Indirect By Jacobs Investment Company LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 C Indirect By Jacobs Investment Company LLC
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2018-02-16 63,289 $0.00 63,289 $0.00
Common Stock Warrant (right to buy) Acquisiton 2018-02-16 72,386 $0.00 72,386 $5.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
72,386 2018-08-15 2023-02-16 No 4 J Indirect
Footnotes
  1. The securities were purchased pursuant to an underwritten public offering by the Issuer. The offering closed on February 16, 2018.
  2. The securities are directly held by Jacobs Investment Company LLC. Reporting Person is the managing member of Jacobs Investment Company LLC. Reporting Person exercises sole dispositive and sole voting power over the shares owned by Jacobs Investment Company LLC. Reporting Person disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of his indirect pecuniary interest therein, and this report shall not be deemed an admission that Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purposes.
  3. Each share of Series A Convertible Preferred Stock is immediately convertible, at the option of the Reporting Person, into one share of common stock, par value $0.0001 per share (the "Common Stock"), of Motus GI Holdings, Inc. ("Motus"), and shall convert into Common Stock upon the occurrence of certain events. Please see the Motus Registration Statement filed with the Securities and Exchange Commission on Form S-1 (File No. 333-222441) (the "Registration Statement") for a complete description of the conversion rights.
  4. The securities were acquired as consideration for entering into one or more agreements in connection with Company's initial public offering. Please see the Registration Statement for a complete description of the warrant terms and such agreements.