Filing Details

Accession Number:
0001181431-12-024675
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-04-19 07:16:04
Reporting Period:
2012-04-16
Filing Date:
2012-04-19
Accepted Time:
2012-04-19 06:16:04
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 2012-04-16 1,135,852 $2.22 2,376,872 No 4 P Direct
Common Stock Acquisiton 2012-04-16 681,512 $2.22 2,406,512 No 4 P Indirect By James Douglas and Jean Douglas Irrevocable Descendants' Trust
Common Stock Acquisiton 2012-04-16 454,341 $2.22 1,234,341 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 Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 1,990 Indirect By KGD 2010 Annuity Trust
Common Stock 1,990 Indirect By MMD 2010 Annuity Trust
Footnotes
  1. These shares are held directly and jointly by Kevin Douglas and Michelle Douglas.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.