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PAVmed Inc. — Director's Dealing 2016
May 3, 2016
35221_dirs_2016-05-02_ac073322-df62-418c-9ea9-105954592915.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: PAVmed Inc. (PAVM)
CIK: 0001624326
Period of Report: 2016-04-28
Reporting Person: Aklog Lishan (Director, Chairman and CEO, 10% Owner)
Reporting Person: HCFP/Capital Partners III LLC (10% Owner)
Reporting Person: Pavilion Venture Partners LLC (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2016-04-28 | Common Stock | A | 12000 | — | Acquired | 2520532 | Indirect |
| 2016-04-28 | Common Stock | A | 87020 | — | Acquired | 87020 | Indirect |
| 2016-04-28 | Common Stock | A | 125000 | — | Acquired | 125000 | Indirect |
| 2016-04-28 | Common Stock | A | 20000 | — | Acquired | 20000 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2016-04-28 | Warrants | $5.00 | A | 12000 | Acquired | 2022-01-29 | Common Stock (12000) | Indirect |
| 2016-04-28 | Warrants | $5.00 | A | 87020 | Acquired | 2022-01-29 | Common Stock (87020) | Indirect |
| 2016-04-28 | Warrants | $5.00 | A | 125000 | Acquired | 2022-01-29 | Common Stock (125000) | Indirect |
| 2016-04-28 | Warrants | $5.00 | A | 20000 | Acquired | 2022-01-29 | Common Stock (20000) | Indirect |
| 2016-04-28 | Employee Stock Option (Right to Buy) | $5.00 | A | 278726 | Acquired | 2026-04-28 | Common Stock (278726) | Direct |
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock | 5713879 | Indirect |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Warrants | $5.00 | 2022-01-29 | Common Stock (5713879) | 5713879 | Indirect |
Footnotes
F1: Dr. Aklog is a member and a co-manager of HCFP/Capital Partners III LLC, and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein.
F2: The reporting person purchased units from the issuer, each unit consisting of one share of the issuer's common stock and one warrant, at a price of $5.00 per unit. Each warrant entitles the holder to purchase one share of the issuer's common stock at an exercise price of $5.00 per share, subject to adjustment.
F3: Dr. Aklog is a member and sole manager of Pavilion Venture Partners LLC, and has sole voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein.
F4: Dr. Aklog is a controlling shareholder of HCFP Inc., and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his proportionate pecuniary interest therein.
F5: Dr. Aklog is a member and a co-manager of the entity that acts as sole manager of HCFP/Capital Partners IIIB LLC, and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his pecuniary interest therein.
F6: Dr. Aklog is a co-manager of HCFP/AG LLC, and shares joint voting and dispositive power over the shares held by this entity. Dr. Aklog disclaims beneficial ownership of shares held by this entity, except to the extent of his pecuniary interest therein.
F7: The option vests as to 3/36 of the shares on July 28, 2016 and in 33 equal monthly installments thereafter.