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The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
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1.
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NAMES OF REPORTING PERSONS.
I.R.S. IDENTIFICATION NOS. OR ABOVE PERSONS (ENTITIES ONLY).
Inlign CP III, LLC (20-4706978)
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) x
(b) o
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3.
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SEC USE ONLY
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4. |
SOURCE OF FUNDS
OO
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
o
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6. |
CITIZENSHIP OR PLACE OF ORGANIZATION
Arizona
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
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7.
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SOLE VOTING POWER
0
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8.
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SHARED VOTING POWER
5,435,993 (1)
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9.
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SOLE DISPOSITIVE POWER
0
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10.
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SHARED DISPOSITIVE POWER
5,435,993 (1)
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,435,993 (1)
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12.
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
o
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.82%
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14.
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TYPE OF REPORTING PERSON
OO (Limited liability company)
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(1)
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319,709 shares are currently held in an escrow account.
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1.
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NAMES OF REPORTING PERSONS.
I.R.S. IDENTIFICATION NOS. OR ABOVE PERSONS (ENTITIES ONLY).
David Holthe
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) x
(b) o
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3.
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SEC USE ONLY
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4. |
SOURCE OF FUNDS
OO
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5.
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
o
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6. |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
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7.
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SOLE VOTING POWER
61,719 (1)
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8.
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SHARED VOTING POWER
5,435,993 (1)
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9.
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SOLE DISPOSITIVE POWER
61,719 (1)
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10.
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SHARED DISPOSITIVE POWER
5,435,993 (1)
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11.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,497,712 (1)
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12.
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
o
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13.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.91%
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14.
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TYPE OF REPORTING PERSON
IN (Individual)
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(1)
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3,630 shares of which Mr. Holthe has sole voting and dispositive power and 319,709 shares of which Mr. Holthe has shared voting and dispositive power are currently held in an escrow account.
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1.
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(a)
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Inlign CP III, LLC
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(b)
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Inlign CP III, LLC’s business address is 4189 West Milky Way, Suite 3, Chandler, Arizona 85226
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(c)
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Inlign CP III, LLC’s principal business is to serve as an investment vehicle. Initially, Inlign CP III, LLC held units of Sound Surgical Technologies, LLC. Inlign CP III, LLC’s sole purpose now is to hold shares of the Issuer.
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(d) and (e) During the last five years, Inlign CP III, LLC has not been (i) convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors) or (ii) a party to any civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of which Inlign CP III, LLC was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, United States federal securities laws or any state thereof or finding of any violation with respect to such laws.
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2.
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(a)
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David Holthe
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(b)
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Mr. Holthe’s business address is c/o Inlign CP III, LLC, 4189 West Milky Way, Suite 3, Chandler, Arizona 85226
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(c)
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Mr. Holthe’s principal occupation is a private equity manager.
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(d)
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During the last five years, Mr. Holthe has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors).
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(e)
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During the last five years, Mr. Holthe has not been a party to any civil proceeding of a judicial or administrative body of competent jurisdiction, as a result of which he was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, United States federal securities laws or any state thereof or finding of any violation with respect to such laws.
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(f)
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Mr. Holthe is a citizen of the United States of America.
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Item 6.
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Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer.
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1.
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Agreement and Plan of Merger dated as of January 29, 2013 among Sound Surgical Technologies, LLC, Solta Medical, Inc., Argonaut Limited Liability Company, a wholly-owned subsidiary of Solta, and Inlign CP III, LLC, acting solely in the capacity of Representative (incorporated by reference to Exhibit 10.1 to the Issuer’s Current Report on Form 8-K filed on February 26, 2013)
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2.
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Form of Lock-Up Agreement dated as of January 23, 2013 between Solta Medical, Inc. and certain unit holders of Sound Surgical Technologies, LLC.
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3.
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Agreement relating to the filing of joint acquisition statements as required by Rule 13d-1(k)(1).
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Inlign CP III, LLC | |
By: |
/s/ David Holthe
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David Holthe
Managing Partner
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/s/ David Holthe
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David Holthe |