Filing Details
- Accession Number:
- 0001209191-13-011587
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2013-02-26 16:19:15
- Reporting Period:
- 2013-02-22
- Filing Date:
- 2013-02-26
- Accepted Time:
- 2013-02-26 16:19:15
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1371217 | Enteromedics Inc | ETRM | Electromedical & Electrotherapeutic Apparatus (3845) | 000000000 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1132859 | Kevin Douglas | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes | |
1268474 | Trust Family Douglas | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes | |
1268475 | Trust Descendants Irrevocable Douglas Jean & James | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes | |
1348445 | Michelle Douglas | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes | |
1518639 | Vi Trust Annuity 2010 Mmd | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes | |
1518640 | Vi Trust Annuity 2010 Kgd | 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur CA 94939 | No | No | Yes | Yes |
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 | 2013-02-22 | 630,000 | $0.00 | 3,010,852 | No | 4 | P | Direct | |
Common Stock | Acquisiton | 2013-02-22 | 1,050,000 | $0.00 | 3,456,512 | No | 4 | P | Indirect | By James Douglas and Jean Douglas Irrevocable Descendants' Trust |
Common Stock | Acquisiton | 2013-02-22 | 420,000 | $0.00 | 1,654,341 | No | 4 | P | Indirect | By Douglas Family Trust |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct | |
No | 4 | P | Indirect | By James Douglas and Jean Douglas Irrevocable Descendants' Trust |
No | 4 | P | Indirect | By Douglas Family Trust |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Warrant (Right to Buy) | Acquisiton | 2013-02-22 | 252,000 | $0.00 | 252,000 | $1.14 |
Common Stock | Warrant (Right to Buy) | Acquisiton | 2013-02-22 | 420,000 | $0.00 | 420,000 | $1.14 |
Common Stock | Warrant (Right to Buy) | Acquisiton | 2013-02-22 | 168,000 | $0.00 | 168,000 | $1.14 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
252,000 | 2018-02-27 | No | 4 | P | Direct | |
420,000 | 2018-02-27 | No | 4 | P | Indirect | |
168,000 | 2018-02-27 | No | 4 | P | Indirect |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 0 | Indirect | By KGD 2010 Annuity Trust VI |
Common Stock | 0 | Indirect | By MMD 2010 Annuity Trust VI |
Reported Derivative Holdings
Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|---|---|---|---|
Common Stock | Warrant (Right to Buy) | $2.19 | 2016-06-13 | 510,000 | 510,000 | Direct | |
Common Stock | Warrant (Right to Buy) | $2.19 | 2016-06-13 | 850,000 | 850,000 | Indirect | |
Common Stock | Warrant (Right to Buy) | $2.19 | 2016-06-13 | 340,000 | 340,000 | Indirect | |
Common Stock | Warrant (Right to Buy) | $2.19 | 2016-06-13 | 0 | 0 | Indirect | |
Common Stock | Warrant (Right to Buy) | $2.19 | 2016-06-13 | 0 | 0 | Indirect | |
Common Stock | Warrant (Right to Buy) | $1.90 | 2016-09-28 | 87,000 | 87,000 | Direct | |
Common Stock | Warrant (Right to Buy) | $1.90 | 2016-09-28 | 145,000 | 145,000 | Indirect | |
Common Stock | Warrant (Right to Buy) | $1.90 | 2016-09-28 | 58,000 | 58,000 | Indirect |
Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|
2016-06-13 | 510,000 | 510,000 | Direct |
2016-06-13 | 850,000 | 850,000 | Indirect |
2016-06-13 | 340,000 | 340,000 | Indirect |
2016-06-13 | 0 | 0 | Indirect |
2016-06-13 | 0 | 0 | Indirect |
2016-09-28 | 87,000 | 87,000 | Direct |
2016-09-28 | 145,000 | 145,000 | Indirect |
2016-09-28 | 58,000 | 58,000 | Indirect |
Footnotes
- These shares are held directly and jointly by Kevin Douglas and Michelle Douglas.
- Each of the reporting persons hereunder (individually, a "Reporting Person" and collectively the "Reporting Persons") may be deemed a member of a "group" within the meaning of Section 13(d)(3) of the Securities and Exchange Act of 1934, as amended (the "Exchange Act") or Rule 13d-5 promulgated under the Exchange Act, with one or more of the other Reporting Persons. Although the Reporting Persons are reporting such securities as if they were members of a "group", the filing of this Form 4 shall not be deemed an admission by any Reporting Person that such Reporting Person is a beneficial owner of any securities other than those directly held by such Reporting Person.
- These shares are held directly by the James Douglas and Jean Douglas Irrevocable Descendants' Trust and indirectly by Kevin Douglas and Michelle Douglas. Kevin Douglas and Michelle Douglas, husband and wife, are each a co-trustee of the James Douglas and Jean Douglas Irrevocable Descendants' Trust.
- These shares are held directly by the Douglas Family Trust and indirectly by Kevin Douglas. James E. Douglas, Jr. and Jean A. Douglas, husband and wife, are each a co-trustee of the Douglas Family Trust.
- These shares are held directly by the KGD 2010 Annuity Trust, a grantor-retained annuity trust of which Kevin Douglas is the sole trustee, and indirectly by Kevin Douglas.
- These shares are held directly by the MMD 2010 Annuity Trust, a grantor-retained annuity trust of which Michelle Douglas is the sole trustee, and indirectly by Michelle Douglas and Kevin Douglas.
- On December 27, 2010, the Reporting Person contributed 127,500 shares to the KGD 2010 Annuity Trust VI, a grantor-retained annuity trust of which Kevin Douglas is the sole trustee. On February 21, 2012, 125,510 shares were distributed to the Reporting Person and are reported in this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas. Upon successful completion of the GRAT on January 28, 2013, 1,990 shares were distributed to the Reporting Person and are reported on this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas.
- On December 27, 2010, the Reporting Person contributed 127,500 shares to the MMD 2010 Annuity Trust VI, a grantor-retained annuity trust of which Michelle Douglas is the sole trustee. On February 21, 2012, 125,510 shares were distributed to the Reporting Person and are reported in this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas. Upon successful completion of the GRAT on January 28, 2013, 1,990 shares were distributed to the Reporting Person and are reported on this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas.
- The reported securities are included within 630,000 EnteroMedics units purchased by the Reporting Person for $0.95 per unit. Each unit consists of one share of common stock and a warrant to purchase 0.40 of a share of common stock.
- The reported securities are included within 1,050,000 EnteroMedics units purchased by the Reporting Person for $0.95 per unit. Each unit consists of one share of common stock and a warrant to purchase 0.40 of a share of common stock.
- The reported securities are included within 420,000 EnteroMedics units purchased by the Reporting Person for $0.95 per unit. Each unit consists of one share of common stock and a warrant to purchase 0.40 of a share of common stock.
- This warrant is exercisable at any time up and including the expiration date. The terms of this warrant contain a limitation on conversion which prevents the Reporting Person from converting this warrant into shares if, after giving effect to the conversion, the Reporting Person would beneficially own more than 19.99% of the issuer's outstanding shares.
- On December 27, 2010, the Reporting Person contributed warrants to purchase 127,500 shares to the KGD 2010 Annuity Trust VI, a grantor-retained annuity trust of which Kevin Douglas is the sole trustee. On February 21, 2012, warrants to purchase 125,510 shares were distributed to the Reporting Person and are reported in this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas. Upon successful completion of the GRAT on January 28, 2013, warrants to purchase 1,990 shares were distributed to the Reporting Person and are reported on this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas.
- On December 27, 2010, the Reporting Person contributed warrants to purchase 127,500 shares to the MMD 2010 Annuity Trust VI, a grantor-retained annuity trust of which Michelle Douglas is the sole trustee. On February 21, 2012, warrants to purchase 125,510 shares were distributed to the Reporting Person and are reported in this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas. Upon successful completion of the GRAT on January 28, 2013, warrants to purchase 1,990 shares were distributed to the Reporting Person and are reported on this Form 4 as held directly and jointly by Kevin Douglas and Michelle Douglas.