Filing Details

Accession Number:
0001104659-18-031864
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-05-09 21:19:27
Reporting Period:
2018-05-07
Accepted Time:
2018-05-09 21:19:27
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1609550 Inspire Medical Systems Inc. INSP () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1365618 D Anders Hove 980 Federal Highway, Suite 315
Boca Raton FL 33432
No No Yes No
1702237 D Michael Kazma 980 Federal Highway, Suite 315
Boca Raton FL 33432
No No Yes No
1719184 Amzak Health Investors, Llc 980 Federal Highway, Suite 315
Boca Raton FL 33432
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 2018-05-07 1,372,043 $0.00 1,372,043 No 4 C Direct
Common Stock Acquisiton 2018-05-07 125,000 $16.00 1,497,043 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series F Convertible Preferred Stock Disposition 2018-05-07 9,124,088 $0.00 1,372,043 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
Footnotes
  1. Shares of Series F Convertible Preferred Stock automatically converted into shares of the Issuer's Common Stock at a 1-for-0.1504 conversion rate immediately prior to the closing of the Issuer's initial public offering for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Issuer's Sixth Amended and Restated Certificate of Incorporation, as amended). These shares had no expiration date.
  2. These shares are held of record by Amzak Health Investors, LLC ("Amzak Health"). Joyce Erony, a director of the Issuer, Michael D. Kazma, and Anders Hove are managers of Amzak Health and, as a result, have shared voting and dispositive power over the shares held by Amzak Health. Each of Ms. Erony and Mr. Hove disclaims beneficial ownership of the shares held by Amzak Health except to the extent of his or her proportionate pecuniary interest therein.