UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series B Preferred Stock | Â (1) | Â (1) | Common Stock | 155,609 | $ (1) | I | See footnotes (2) (4) |
Series C Preferred Stock | Â (1) | Â (1) | Common Stock | 481,342 | $ (1) | I | See footnotes (2) (4) |
Series D Preferred Stock | Â (1) | Â (1) | Common Stock | 141,101 | $ (1) | I | See footnotes (2) (4) |
Series B Preferred Stock | Â (1) | Â (1) | Common Stock | 42,265 | $ (1) | I | See footnotes (3) (4) |
Series C Preferred Stock | Â (1) | Â (1) | Common Stock | 130,741 | $ (1) | I | See footnotes (3) (4) |
Series D Preferred Stock | Â (1) | Â (1) | Common Stock | 38,325 | $ (1) | I | See footnotes (3) (4) |
Series C Preferred Stock Warrant (right to buy) | Â (5) | 08/18/2014 | Series C Preferred Stock (1) | 19,085 | $ 8.79 | I | See footnotes (2) (4) |
Series C Preferred Stock Warrant (right to buy) | Â (5) | 08/18/2014 | Series C Preferred Stock (1) | 16,700 | $ 8.79 | I | See footnotes (2) (4) |
Series C Preferred Stock Warrant (right to buy) | Â (5) | 08/18/2014 | Series C Preferred Stock (1) | 5,184 | $ 8.79 | I | See footnotes (3) (4) |
Series C Preferred Stock Warrant (right to buy) | Â (5) | 08/18/2014 | Series C Preferred Stock (1) | 4,536 | $ 8.79 | I | See footnotes (3) (4) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MCKEARN JOHN P C/O RIVERVEST VENTURE PARTNERS 7733 FORSYTH BOULEVARD, SUITE 1650 ST. LOUIS, MO 63105 |
 X |  |  |  |
/s/ John McKearn | 08/12/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Each of the Series B Convertible Preferred Stock, Series C Convertible Preferred Stock and Series D Convertible Preferred Stock shall automatically convert into Common Stock on a one for one basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date. |
(2) | The securities are held of record by RiverVest Venture Fund II, L.P. |
(3) | The securities are held of record by RiverVest Venture Fund II (Ohio), L.P. |
(4) | The Reporting Person is an authorized person of RiverVest Venture Partners II, LLC, the general partner of RiverVest Venture Partners II, L.P. RiverVest Venture Partners II, L.P. is the sole member of RiverVest Venture Partners II (Ohio), LLC, the general partner of RiverVest Venture Fund II (Ohio), L.P. RiverVest Venture Partners II, L.P. is also the general partner of RiverVest Venture Fund II, L.P. As an authorized person of RiverVest Venture Partners II, LLC, the Reporting Person may be deemed to share dispositive voting and investment power with respect to the shares held by these entities. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. |
(5) | The warrants are immediately exercisable. |
 Remarks: Exhibit 24 - Power of Attorney |