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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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 2)*
OptiNose, Inc.
(Name of Issuer)
Common Stock, par value $0.001 per share
(Title of Class of Securities)
68404V100
(CUSIP Number)
December 31, 2021
(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) |
| ☐ | 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).
| 1. |
Names of Reporting Persons
Theodore H. Kruttschnitt, III | |||||
| 2. | Check The Appropriate Box if a Member of a Group (See Instructions) (a) ☐ (b) ☐
| |||||
| 3. | SEC Use Only
| |||||
| 4. | Citizenship or Place of Organization
United States Citizen | |||||
| Number of Shares Beneficially Owned By Each Reporting Person With
|
5. | Sole Voting Power
3,489,510* | ||||
| 6. | Shared Voting Power
0 | |||||
| 7. | Sole Dispositive Power
3,489,510* | |||||
| 8. | Shared Dispositive Power
0 | |||||
| 9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
3,489,510* | |||||
| 10. | Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares
☐ | |||||
| 11. | Percent of Class Represented By Amount in Row (9)
4.2%† | |||||
| 12. | Type of Reporting Person (See Instructions)
IN | |||||
| * | See Item 4. |
| † | See Item 4. |
| Item 1(a). | Name of Issuer |
OptiNose, Inc. (the “Issuer”)
| Item 1(b). | Address of the Issuer’s Principal Executive Offices |
1020 Stony Hill Road, Suite 300
Yardley, Pennsylvania 19067
| Item 2(a). | Names of Persons Filing |
See Item 2(c) below.
| Item 2(b). | Address of the Principal Business Office, or if none, Residence: |
See Item 2(c) below.
| Item 2(c). | Citizenship |
This Schedule 13G/A is being filed on behalf of Theodore H. Kruttschnitt, III, a United States citizen.
The address of the principal business office of the reporting person is:
c/o Theodore H. Kruttschnitt, III
3000 Ralston Avenue, Hillsborough, CA 94010
| Item 2(d). | Title of Class of Securities |
Common Stock, $0.001 par value (“Common Stock”)
| Item 2(e). | CUSIP Number |
68404V100
| Item 3. | If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a(n): |
Not Applicable.
| Item 4. | Ownership |
| (a) | Amount beneficially owned: |
See Item 9 on the Cover Page to this Schedule 13G/A.
| (b) | Percent of Class: |
See Item 11 on the Cover Page to this Schedule 13G/A. The percentage reported herein is based on 82,199,567 shares of Common Stock outstanding as of November 15, 2021, as reported in the Issuer’s Quarterly Report on Form 8-K, filed with the Securities and Exchange Commission on November 18, 2021.
| (c) | Number of shares as to which the Reporting Person has: |
| (i) | Sole power to vote or to direct the vote: |
See Item 5 on the Cover Page to this Schedule 13G/A.
| (ii) | Shared power to vote or to direct the vote: |
See Item 6 on the Cover Page to this Schedule 13G/A.
| (iii) | Sole power to dispose or to direct the disposition of: |
See Item 7 on the Cover Page to this Schedule 13G/A.
| (iv) | Shared power to dispose or to direct the disposition of: |
See Item 8 on the Cover Page to this Schedule 13G/A.
| 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: ☒
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person |
Not Applicable.
| 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.
| Item 9. | Notice of Dissolution of Group |
Not Applicable.
| Item 10. | Certification |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.
SIGNATURE
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 2, 2022
| Theodore H. Kruttschnitt, III |
| /s/ Theodore H. Kruttschnitt, III |
| Name: Theodore H. Kruttschnitt, III |