Filing Details
- Accession Number:
- 0001104659-12-011315
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2012-02-21 15:20:33
- Reporting Period:
- 2012-02-16
- Filing Date:
- 2012-02-21
- Accepted Time:
- 2012-02-21 15:20:33
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1145197 | Insulet Corp | "PODD" | Surgical & Medical Instruments & Apparatus (3841) | 043523891 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1181338 | Md A Ross Jaffe | C/O Versant Ventures 3000 Sand Hill Road, #4-210 Menlo Park CA 94025 | 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 | Disposition | 2012-02-16 | 598,380 | $0.00 | 1,214,893 | No | 4 | S | Indirect | Versant Venture Capital I, L.P. |
Common Stock | Disposition | 2012-02-16 | 11,707 | $0.00 | 23,768 | No | 4 | S | Indirect | Versant Side Fund I, L.P. |
Common Stock | Acquisiton | 2012-02-16 | 18,520 | $0.00 | 18,520 | No | 4 | J | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | S | Indirect | Versant Venture Capital I, L.P. |
No | 4 | S | Indirect | Versant Side Fund I, L.P. |
No | 4 | J | Direct |
Footnotes
- The Reporting Person is a managing member of Versant Ventures I, LLC ("VVI-LLC"), which is the general partner of each of Versant Side Fund I, L.P., Versant Venture Capital I, L.P., Versant Affiliates Fund I-A, L.P., and Versant Affiliates Fund I-B, L.P. (collectively, the "Versant Funds"). As such, the Reporting Person shares voting and investment power over the shares held by the Versant Funds and may be deemed to have indirect beneficial ownership of such shares. The Reporting Person disclaims beneficial ownership of such shares held by the Versant Funds, except to the extent of his proportionate pecuniary interest therein, if any.
- The shares are held by the Jaffe Family Trust dtd. 7/9/91 ("Jaffe Trust"). The shares were received in in-kind distributions of 17,349 shares from Versant Venture Capital I, L.P. and 1,171 shares by Versant Side Fund I, L.P. on February 16, 2012. The Reporting Person is a trustee and beneficiary of the Jaffe Trust.