Filing Details

Accession Number:
0001628280-20-014287
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-10-05 16:16:49
Reporting Period:
2020-10-05
Accepted Time:
2020-10-05 16:16:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1127537 Pulmonx Corp LUNG () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1034413 M Richard Ferrari C/O Pulmonx Corporation
700 Chesapeake Drive
Redwood City CA 94063
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 Acquisiton 2020-10-05 26,266 $0.00 37,098 No 4 C Indirect See Footnote
Common Stock Acquisiton 2020-10-05 675,227 $0.00 712,325 No 4 C Indirect See Footnote
Common Stock Acquisiton 2020-10-05 327,560 $0.00 1,039,885 No 4 C Indirect See Footnote
Common Stock Acquisiton 2020-10-05 126,603 $0.00 1,166,488 No 4 C Indirect See Footnote
Common Stock Acquisiton 2020-10-05 65,833 $0.00 1,232,321 No 4 C Indirect See Footnote
Common Stock Acquisiton 2020-10-05 3,030 $0.00 3,030 No 4 C Direct
Common Stock Acquisiton 2020-10-05 13,157 $19.00 16,187 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
No 4 C Indirect See Footnote
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 A-1 Preferred Stock Disposition 2020-10-05 26,266 $0.00 26,266 $0.00
Common Stock Series B-1 Preferred Stock Disposition 2020-10-05 675,227 $0.00 675,227 $0.00
Common Stock Series C-1 Preferred Stock Disposition 2020-10-05 327,560 $0.00 327,560 $0.00
Common Stock Series D-1 Preferred Stock Disposition 2020-10-05 126,603 $0.00 126,603 $0.00
Common Stock Series E-1 Preferred Stock Disposition 2020-10-05 65,833 $0.00 65,833 $0.00
Common Stock Series G-1 Preferred Stock Disposition 2020-10-05 3,030 $0.00 3,030 $0.00
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 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Direct
Footnotes
  1. The Issuer's preferred stock automatically converted into an equal number of shares of the Issuer's common stock immediately upon the closing of the Issuer's initial public offering and has no expiration date.
  2. The shares are directly held by De Novo Ventures III Liquidating Trust ("De Novo"). The Reporting Person, along with Fred Dozier and Joseph Mandato, and Jay Watkins are the trustees of De Novo and exercise shares voting and dispositie control over the shares held by De Novo