Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b)
(Amendment No. 1)*
Inspire Medical Systems, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
457730109
(CUSIP Number)
December 31, 2019
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ | Rule 13d-1(b) |
¨ | Rule 13d-1(c) |
x | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
(Continued on following pages)
Page 1 of 17 Pages
Exhibit Index Contained on Page 15
CUSIP NO. 457730109 | 13 G | Page 2 of 17 |
1 | NAME OF REPORTING U.S. Venture Partners IX, L.P. (“USVP IX”) |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 0 shares. |
6 | SHARED VOTING POWER See response to row 5. | |
7 | SOLE DISPOSITIVE POWER 0 shares. | |
8 | SHARED DISPOSITIVE POWER See response to row 7. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 0 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
12 | TYPE OF REPORTING PERSON* | PN | tr>
CUSIP NO. 457730109 | 13 G | Page 3 of 17 |
1 | NAME OF REPORTING Presidio Management Group IX, L.L.C. |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 0 shares. |
6 | SHARED VOTING POWER See response to row 5. | |
7 | SOLE DISPOSITIVE POWER 0 shares. | |
8 | SHARED DISPOSITIVE POWER See response to row 7. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 0 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
12 | TYPE OF REPORTING PERSON* | OO |
CUSIP NO. 457730109 | 13 G | Page 4 of 17 |
1 |
NAME OF REPORTING PERSON
Irwin Federman |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 14,746 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 14,746 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 14,746 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.1% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 5 of 17 |
1 |
NAME OF REPORTING PERSON
Steven M. Krausz |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 10,063 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 10,063 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 10,063 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 6 of 17 |
1 |
NAME OF REPORTING PERSON
David Liddle |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 41,838 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 41,838 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 41,838 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.2% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 7 of 17 |
1 |
NAME OF REPORTING PERSON
Paul Matteucci |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 0 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 0 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 0 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 8 of 17 |
1 |
NAME OF REPORTING PERSON
Jonathan D. Root |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 51,600 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 51,600 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 51,600 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.2% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 9 of 17 |
1 |
NAME OF REPORTING PERSON
Casey M. Tansey |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 217,765 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 217,765 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 217,765 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.9% |
12 | TYPE OF REPORTING PERSON* | IN |
CUSIP NO. 457730109 | 13 G | Page 10 of 17 |
1 |
NAME OF REPORTING PERSON
Philip M. Young |
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ¨ (b) x |
3 | SEC USE ONLY |
4 | CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen |
NUMBER OF SHARES
|
5 | SOLE VOTING POWER 20,508 shares. |
6 | SHARED VOTING POWER 0 shares. | |
7 | SOLE DISPOSITIVE POWER 20,508 shares. | |
8 | SHARED DISPOSITIVE POWER 0 shares. |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | 20,508 |
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* | ¨ |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
0.1% |
12 | TYPE OF REPORTING PERSON* |
IN |
CUSIP NO. 457730109 | 13 G | Page 11 of 17 |
ITEM 1(A). | NAME OF ISSUER Inspire Medical Systems, Inc. |
ITEM 1(B). | ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES 5500 Wayzata Blvd., Suite 1600 |
Golden Valley, Minnesota 55416
ITEM 2(A). | NAME OF PERSONS FILING |
This Schedule 13G is filed by PMG IX, USVP IX, Federman, Krausz, Liddle, Matteucci, Root, Tansey and Young. The foregoing entities and individuals are collectively referred to as the “Reporting Persons.”
PMG IX, the general partner of USVP IX, may be deemed to have sole power to vote and sole power to dispose of shares of the issuer directly owned by USVP IX. Federman, Krausz, Liddle, Matteucci, Root, Tansey and Young are managing members of PMG IX and may be deemed to have shared power to vote and shared power to dispose of shares of the issuer directly owned by USVP IX.
ITEM 2(B). | ADDRESS OF PRINCIPAL OFFICE |
The address for each of the Reporting Persons is:
U.S. Venture Partners
1460 El Camino Real, Suite 100
Menlo Park, California 94025
ITEM 2(C) | CITIZENSHIP USVP IX is a Delaware limited partnership. PMG IX is a Delaware limited liability company. Federman, Krausz, Liddle, Matteucci, Root, Tansey and Young are United States citizens. |
ITEM 2(D) AND (E). | TITLE
OF CLASS OF SECURITIES AND CUSIP NUMBER |
Common Stock
CUSIP # 457730109
ITEM 3. | Not Applicable. |
ITEM 4. | OWNERSHIP |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
CUSIP NO. 457730109 | 13 G | Page 12 of 17 |
(a) Amount beneficially owned:
See Row 9 of cover page for each Reporting Person.
(b) Percent of Class:
See Row 11 of cover page for each Reporting Person.
(c) Number of shares as to which such person has:
(i) | Sole power to vote or to direct the vote: |
See Row 5 of cover page for each Reporting Person.
(ii) | Shared power to vote or to direct the vote: |
See Row 6 of cover page for each Reporting Person.
(iii) | Sole power to dispose or to direct the disposition of: |
See Row 7 of cover page for each Reporting Person.
(iv) | Shared power to dispose or to direct the disposition of: |
See Row 8 of cover page for each Reporting Person.
ITEM 5. | OWNERSHIP
OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: x Yes |
ITEM 6. | OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Under certain circumstances set forth in the limited partnership agreement of USVP IX and the limited liability company agreement of PMG IX, the general and limited partners or members, as the case may be, of each of such entities may be deemed to have the right to receive dividends from, or the proceeds from, the sale of shares of the issuer owned by each such entity of which they are a partner or member, as the case may be. |
ITEM 7. | IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY Not applicable. |
ITEM 8. | IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
Not applicable. |
CUSIP NO. 457730109 | 13 G | Page 13 of 17< /td> |
ITEM 9. | NOTICE OF DISSOLUTION OF GROUP.
Not applicable. |
ITEM 10. | CERTIFICATION.
Not applicable. |
CUSIP NO. 457730109 | 13 G | Page 14 of 17 |
SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 5, 2020
PRESIDIO MANAGEMENT GROUP IX, L.L.C. | Irwin Federman | |
U.S. Venture Partners IX, L.P. | Steven M. Krausz | |
By Presidio Management Group IX, L.L.C. | ||
Its General Partner | David Liddle | |
Paul Matteucci | ||
Jonathan D. Root | ||
CASEY M. TANSEY | ||
Philip M. Young |
By: | /s/ Dale Holladay | By: | /s/ Dale Holladay | |
Dale Holladay, Chief Financial Officer/Attorney-In-Fact for the above-listed entities | Dale Holladay, Attorney-In-Fact for the above-listed individuals |
*Signed pursuant to a Power of Attorney already on file with the appropriate agencies.
The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representative’s authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.
NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for
other parties for whom copies are to be sent.
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)
CUSIP NO. 457730109 | 13 G | Page 15 of 17 |
EXHIBIT INDEX
Exhibit |
Found on Sequentially Numbered Page |
Exhibit A: Agreement of Joint Filing | 16 |
Exhibit B: Power of Attorney | 17 |
CUSIP NO. 457730109 | 13 G | Page 16 of 17 |
exhibit A
Agreement of Joint Filing
The Reporting Persons agree that a single Schedule 13G (or any amendment thereto) relating to the Common Stock of Inspire Medical Systems, Inc. shall be filed on behalf of each of the Reporting Persons. Note that copies of the applicable Agreement of Joint Filing are already on file with the appropriate agencies.
CUSIP NO. 457730109 | 13 G | Page 17 of 17 |
exhibit B
Power of Attorney
Dale Holladay has signed this Schedule 13G as Attorney-In-Fact. Note that copies of the applicable Power of Attorney are already on file with the appropriate agencies.