David Pacitti - 04 Apr 2023 Form 4 Insider Report for Apollo Endosurgery, Inc.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
04 Apr 2023, 19:53:48 UTC
Prior SEC filing
16 Jun 2022
Next SEC filing
28 Mar 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Brian Szymczak - Attorney-in-Fact

Key filing fact

David Pacitti filed Form 4 for Apollo Endosurgery, Inc. on 04 Apr 2023.

Key facts

  • This page summarizes David Pacitti's Form 4 filing for Apollo Endosurgery, Inc..
  • 6 reported transactions and 5 derivative rows are listed below.
  • Accepted by SEC: 04 Apr 2023, 19:53.

Change

  • Previous filing in this sequence was filed on 16 Jun 2022.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

APEN transaction

Common Stock

Disposed to Issuer

Transaction value
Shares
-18,112
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Footnotes
F1, F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

APEN transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-15,154
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Underlying class
Common Sock
Underlying amount
15,154
Exercise price
$3.98
Footnotes
F3
APEN transaction Derivative

Non-Qualified Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares
-16,536
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
16,536
Exercise price
$3.27
Footnotes
F3
APEN transaction Derivative

Non-Qualified Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares
-27,749
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
27,749
Exercise price
$2.08
Footnotes
F3
APEN transaction Derivative

Non-Qualified Stock Option (right to buy)

Disposed to Issuer

Transaction value
Shares
-5,271
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
5,271
Exercise price
$8.86
Footnotes
F3
APEN transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
Shares
-19,333
Change %
-100%
Price
Shares after
0
Date
04 Apr 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
19,333
Exercise price
$3.95
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

David Pacitti is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

Reflects the disposition of the reporting person's 3,888 shares of Issuer common stock, par value $0.001 per share ("Issuer Common Stock"), upon the consummation of the transactions contemplated by the Agreement and Plan of Merger (the "Merger Agreement"), dated as of November 29, 2022, among the Issuer, Boston Scientific Corporation ("Parent") and Textile Merger Sub, Inc., an indirect wholly owned subsidiary of Parent ("Merger Sub"), including the consummation of the merger between Issuer and Merger Sub on April 4, 2023 (the "Merger"). Pursuant to the Merger Agreement, at the effective time of the Merger (the "Effective Time"), each outstanding share of Issuer Common Stock, was canceled and converted automatically into the right to receive $10.00 in cash, without interest (the "Merger Consideration"), less applicable taxes and authorized deductions.

Footnote F2

Reflects the disposition of the reporting person's 14,224 shares of Issuer RSUs upon the consummation of the Merger. Pursuant to the Merger Agreement, at the Effective Time, each outstanding restricted stock unit award granted under any Issuer Stock Plan (each, an "Issuer RSU"), whether vested but unsettled or unvested, was canceled and converted into the right to receive an amount in cash, without interest, equal to the product of (1) the Merger Consideration and (2) the aggregate number of shares of Issuer Common Stock underlying such Issuer RSU, less applicable taxes and authorized deductions.

Footnote F3

Pursuant to the Merger Agreement, at the Effective Time, each outstanding and unexercised option to purchase shares of Issuer Common Stock granted under the Issuer's 2006 Stock Option Plan, 2016 Equity Incentive Plan or 2017 Equity Incentive Plan or pursuant to the "inducement" grant exception under Rule 5635(c)(4) of the Nasdaq Listing Rules (collectively, the "Issuer Stock Plans", and each such option, an "Issuer Option"), whether vested or unvested, was canceled and converted into the right to receive an amount in cash, without interest, equal to the product of (1) the amount by which the Merger Consideration exceeds the exercise price per share applicable to such Issuer Option and (2) the aggregate number of shares of Issuer Common Stock issuable upon exercise of such Issuer Option, less applicable taxes and authorized deductions.

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