Nuwellis, Inc. — Director's Dealing 2012

Feb 14, 2012

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Sunshine Heart, Inc. (SSH)
CIK: 0001506492
Period of Report: 2012-02-14

Reporting Person: Brooke Geoffrey (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	379596	Indirect
Common Stock	815165	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Employee Stock Option (right to buy)	$101.74	2014-07-05	Common Stock (485)		Direct
Employee Stock Option (right to buy)	$7.1218	2021-08-17	Common Stock (11200)		Direct
Common Stock Warrant (right to buy)	$50.87	2014-06-20	Common Stock (12000)		Direct
Common Stock Warrant (right to buy)	$6.5114	2014-12-08	Common Stock (79083)		Indirect
Common Stock Warrant (right to buy)	$6.5114	2014-12-08	Common Stock (169826)		Indirect

Footnotes

F1: Represents securities held directly by GBS Bioventures II A/C. The reporting person is a managing director of GBS Venture Partners Pty Ltd which manages GBS Bioventures II/AC. The reporting person shares voting and investment power with another partner and may be deemed to be an indirect beneficial owner of the reported securities. The reporting disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest. This report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.

F2: Represents securities held directly by GBS Bioventures III A/C. The reporting person is a managing director of GBS Venture Partners Pty Ltd which manages GBS Bioventures III A/C. The reporting person shares voting and investment power with another partner and may be deemed to be an indirect beneficial owner of the reported securities. The reporting disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest. This report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.

F3: Fully vested.

F4: The option vests as to 1/48th of the shares each month with (i) 6 months of shares vesting on August 18, 2011 and (ii) the remaining shares vesting equally for 42 consecutive months beginning September 17, 2011.

F5: Immediately exercisable.