Filing Details

Accession Number:
0001548538-20-000010
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-05-27 20:56:45
Reporting Period:
2020-05-27
Accepted Time:
2020-05-27 20:56:45
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1531048 Inari Medical Inc. NARI () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1190636 M Steven Krausz 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1192391 Irwin Federman 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1370817 A Paul Matteucci 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1440514 Us Venture Partners X Lp 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1453359 Usvp X Affiliates Lp 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1474322 M Casey Tansey 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1534399 W. Richard Lewis 1460 El Camino Real, Suite 100
Menlo Park CA 94025
No No Yes No
1602744 Presidio Management Group X Llc 1460 El Camino Real, Suite 100
Menlo Park CA 94025
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 2020-05-27 2,307,142 $0.00 2,307,142 No 4 C Indirect Directly owned by USVP X
Common Stock Acquisiton 2020-05-27 2,899,876 $0.00 5,207,018 No 4 C Indirect Directly owned by USVP X
Common Stock Acquisiton 2020-05-27 2,278,331 $0.00 7,485,349 No 4 C Indirect Directly owned by USVP X
Common Stock Acquisiton 2020-05-27 73,809 $0.00 73,809 No 4 C Indirect Directly owned by AFF X
Common Stock Acquisiton 2020-05-27 92,771 $0.00 166,580 No 4 C Indirect Directly owned by AFF X
Common Stock Acquisiton 2020-05-27 72,887 $0.00 239,467 No 4 C Indirect Directly owned by AFF X
Common Stock Acquisiton 2020-05-27 97,962 $19.00 97,962 No 4 P Indirect Directly owned by Casey Tansey
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect Directly owned by USVP X
No 4 C Indirect Directly owned by USVP X
No 4 C Indirect Directly owned by USVP X
No 4 C Indirect Directly owned by AFF X
No 4 C Indirect Directly owned by AFF X
No 4 C Indirect Directly owned by AFF X
No 4 P Indirect Directly owned by Casey Tansey
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Preferred Stock Disposition 2020-05-27 2,307,142 $0.00 2,307,142 $0.00
Common Stock Series A Preferred Stock Disposition 2020-05-27 73,809 $0.00 73,809 $0.00
Common Stock Series B Preferred Stock Disposition 2020-05-27 2,899,876 $0.00 2,899,876 $0.00
Common Stock Series B Preferred Stock Disposition 2020-05-27 92,771 $0.00 92,771 $0.00
Common Stock Series C Preferred Stock Disposition 2020-05-27 2,278,331 $0.00 2,278,331 $0.00
Common Stock Series C Preferred Stock Disposition 2020-05-27 72,887 $0.00 72,887 $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 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
Footnotes
  1. Each share of the Issuer's preferred stock is convertible on a one-to-one basis into shares of the Issuer's common stock at the holder's election and has no expiration date. The preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering.
  2. The reported securities are owned directly by each of U.S. Venture Partners X, L.P. ("USVP X") and USVP X Affiliates Fund, L.P. ("AFF X") (together, the "USVP X Funds"). Presidio Management Group X, L.L.C. ("PMG X") is the general partner of each of the USVP X Funds and may be deemed to have sole voting and dispositive power over the reported securities held by the USVP X Funds. Jonathan D. Root, a director of the issuer, Irwin Federman, Steven Krausz, Richard Lewis, Paul Matteucci and Casey Tansey are the managing members of PMG X, who may be deemed to share voting and dispositive power over the reported securities held by the USVP X Funds. Such persons and entities disclaim beneficial ownership of the reported securities held by the USVP X Funds, except to the extent of any pecuniary interest therein