Filing Details

Accession Number:
0001144204-13-033213
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-06-04 16:20:43
Reporting Period:
2013-05-31
Filing Date:
2013-06-04
Accepted Time:
2013-06-04 16:20:43
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1230355 Baxano Surgical Inc. BAXS Surgical & Medical Instruments & Apparatus (3841) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1365935 A Roderick Young C/O Three Arch Partners
320 Alpine Road
Portola Valley CA 94028
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 2013-05-31 28,948 $2.28 28,948 No 4 P Indirect Three Arch Associates IV, L.P.
Common Stock Acquisiton 2013-05-31 1,311,086 $2.28 1,311,086 No 4 P Indirect Three Arch Partners IV, L.P.
Common Stock Acquisiton 2013-05-31 50,718 $0.00 79,666 No 4 J Indirect Three Arch Associates IV, L.P.
Common Stock Acquisiton 2013-05-31 2,297,144 $0.00 3,608,230 No 4 J Indirect Three Arch Partners IV, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Three Arch Associates IV, L.P.
No 4 P Indirect Three Arch Partners IV, L.P.
No 4 J Indirect Three Arch Associates IV, L.P.
No 4 J Indirect Three Arch Partners IV, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (right to buy) Acquisiton 2013-05-31 30,000 $0.00 30,000 $2.06
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
30,000 2023-05-30 No 4 A Direct
Footnotes
  1. The reportable securities are owned directly by Three Arch Associates IV, L.P. Mr. Young is a venture partner of Three Arch Associates IV, L.P. and does not have any voting or dispositive power with respect to the shares held by Three Arch Associates IV, L.P. Mr. Young disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein
  2. The reportable securities are owned directly by Three Arch Partners IV, L.P. Mr. Young is a venture partner of Three Arch Partners IV, L.P. and does not have any voting or dispositive power with respect to the shares held by Three Arch Partners IV, L.P. Mr. Young disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein.
  3. Received in exchange for outstanding convertible promissory notes and shares of Series C Preferred Stock of Baxano, Inc. pursuant to the Agreement and Plan of Merger, dated March 3, 2013, by and among TranS1 Inc. (now Baxano Surgical, Inc.), RacerX Acquisition Corp., Baxano, Inc., and Sumeet Jain and David Schulte as Securityholder Representatives, as amended by the First Amendment to Agreement and Plan of Merger, dated April 10, 2013, by and among the parties.
  4. 25% of the stock option shall vest on May 31, 2014 and the remaining 75% of the stock option shall vest thereafter in 36 equal monthly installments.