Filing Details

Accession Number:
0000903423-15-000328
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-05-13 12:36:54
Reporting Period:
2015-05-11
Filing Date:
2015-05-13
Accepted Time:
2015-05-13 12:36:54
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1169987 Htg Molecular Diagnostics Inc HTGM Laboratory Analytical Instruments (3826) 860912294
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1131399 Plc Glaxosmithkline 980 Great West Road
Brentford, Middlesex, TW8 9GS
No No Yes 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 2015-05-11 365,106 $14.00 365,106 No 4 P Indirect By S.R. One, Limited
Common Stock Acquisiton 2015-05-11 340,314 $0.00 705,420 No 4 C Indirect By S.R. One, Limited
Common Stock Acquisiton 2015-05-11 141,797 $0.00 847,217 No 4 C Indirect By S.R. One, Limited
Common Stock Acquisiton 2015-05-11 91,271 $0.00 938,488 No 4 J Indirect By S.R. One, Limited
Common Stock Acquisiton 2015-05-11 110,755 $0.00 1,049,243 No 4 C Indirect By S.R. One, Limited
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By S.R. One, Limited
No 4 C Indirect By S.R. One, Limited
No 4 C Indirect By S.R. One, Limited
No 4 J Indirect By S.R. One, Limited
No 4 C Indirect By S.R. One, Limited
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series D Convertible Preferred Stock Disposition 2015-05-11 36,546,366 $0.00 340,314 $0.00
Common Stock Series E Convertible Preferred Stock Disposition 2015-05-11 15,227,653 $0.00 141,797 $0.00
Common Stock Subordinated Convertible Promissory Note Disposition 2015-05-11 110,755 $0.00 110,755 $0.00
Common Stock Series E Convertible Preferred Stock Warrant (Right to Buy) Disposition 2015-05-11 2,784,593 $0.00 2,784,593 $0.00
Common Stock Common Stock Warrant (Right to Buy) Acquisiton 2015-05-11 43,538 $0.00 43,538 $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 2016-03-31 No 4 C Indirect
0 2022-01-14 No 4 C Indirect
43,538 2022-01-14 No 4 C Indirect
Footnotes
  1. Shares purchased in the Issuer's initial public offering at the initial public offering price of $14.00 per share.
  2. Shares are held of record by S.R. One, Limited, an indirect, wholly-owned subsidiary of GlaxoSmithKline plc (Reporting Person).
  3. Each share of Series D Convertible Preferred Stock and Series E Convertible Preferred Stock, including all accrued cumulative and unpaid dividends thereon, converted automatically into Common Stock on a 1-for-107.39 basis, upon the closing of the Issuer's initial public offering. Both the Series D Convertible Preferred Stock and the Series E Convertible Preferred Stock had no expiration date.
  4. Shares of Common Stock acquired upon payment of shares in respect of dividends accrued on Series D Convertible Preferred Stock and Series E Convertible Preferred Stock at the closing of the Issuer's initial public offering.
  5. The Convertible Promissory Note, including all accrued and unpaid interest thereon, converted automatically into Common Stock upon the closing of the Issuer's initial public offering.
  6. The right to receive 2,784,593 Series E Shares upon exercise of the Warrants converted automatically into a right to receive 43,538 shares of Common Stock upon exercise of the Warrants, which can be exercised at any time, at an exercise price of $14.00, upon the closing of the Issuer's initial public offering.