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Nuwellis, Inc. — Director's Dealing 2012
May 10, 2012
35477_dirs_2012-05-10_178b93c0-9ab3-424e-9553-f6ae377fd7b3.zip
Director's Dealing
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SEC Form 3/A — Form 3/A
Issuer: Sunshine Heart, Inc. (SSH)
CIK: 0001506492
Period of Report: 2012-02-14
Reporting Person: CM Capital (10% Owner)
Reporting Person: CM Capital Venture 4A A/C (10% Owner)
Reporting Person: CM Capital Venture 4B A/C (10% Owner)
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock | 750356 | Indirect |
| Common Stock | 750356 | Indirect |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Common Stock Warrant (right to buy) | $6.5114 | 2014-12-08 | Common Stock (188393) | Indirect | |
| Common Stock Warrant (right to buy) | $6.5114 | 2014-12-08 | Common Stock (188393) | Indirect |
Footnotes
F1: Represents securities held directly by CM Capital Venture 4A A/C. CM Capital Venture 4A A/C is a fund affiliated with CM Capital Investments Pty Ltd. Mr. Mark Harvey, a director of the Issuer, shares voting and investment power with other partners and may be deemed to be a beneficial owner of the reported securities. Mr. Harvey disclaims indirect beneficial ownership of the reported securities except to the extent of his pecuniary interest. This report shall not be deemed an admission that Mr. Harvey is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
F2: Represents securities held directly by CM Capital Venture 4B A/C. CM Capital Venture 4B A/C is a fund affiliated with CM Capital Investments Pty Ltd. Mr. Mark Harvey, a director of the Issuer, shares voting and investment power with other partners and may be deemed to be a beneficial owner of the reported securities. Mr. Harvey disclaims indirect beneficial ownership of the reported securities except to the extent of his pecuniary interest. This report shall not be deemed an admission that Mr. Harvey is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
F3: Immediately exercisable.
F4: This Form 3 amends the number of derivative securities beneficially owned in the granted warrant.