MedTech Acquisition Sponsor LLC - 26 Jun 2023 Form 4 Insider Report for MedTech Acquisition Corp (TLSI)

Role
10%+ Owner
Signature
MedTech Acquisition Sponsor LLC By: /s/ Christopher C. Dewey, Managing Member
Issuer symbol
TLSI
Transactions as of
26 Jun 2023
Net transactions value
$0
Form type
4
Filing time
27 Jun 2023, 16:13:30 UTC

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TLSI Class A Common Stock Conversion of derivative security +6,249,999 6,249,999 26 Jun 2023 Direct F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction TLSI Class B Common Stock Conversion of derivative security -6,249,999 -100% 1 26 Jun 2023 Class A Common Stock 6,249,999 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The shares of Class B common stock, par value $0.0001 per share ("Class B Common Stock"), of the issuer are convertible into an equal number of shares of Class A common stock, par value $0.0001 per share ("Class A Common Stock"), of the issuer. On June 26, 2023, MedTech Acquisition Sponsor LLC (the "Sponsor") elected to convert 6,249,999 shares of their Class B Common Stock into an equal number of Class A Common Stock.
F2 The Sponsor is the record holder of the securities reported herein. Christopher C. Dewey and David J. Matlin are managing members of the Sponsor. By virtue of this relationship, each of these individuals may be deemed to share beneficial ownership of the securities held of record by the Sponsor. Each of them disclaims any such beneficial ownership except to the extent of their pecuniary interest therein.