1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Stock Option (Right to Buy)
|
Â
(1)
|
11/14/2015 |
Common Stock
|
18,181
|
$
0.33
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
11/13/2017 |
Common Stock
|
9,090
|
$
1.265
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(2)
|
07/22/2018 |
Common Stock
|
9,090
|
$
1.65
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
07/22/2019 |
Common Stock
|
9,090
|
$
0.99
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
02/25/2020 |
Common Stock
|
6,363
|
$
4.455
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
05/09/2021 |
Common Stock
|
6,363
|
$
3.96
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
03/12/2023 |
Common Stock
|
6,363
|
$
3.465
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
03/12/2023 |
Common Stock
|
6,363
|
$
3.465
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
01/08/2024 |
Common Stock
|
6,363
|
$
6.325
|
D
|
Â
|
Series B Preferred Stock
|
Â
(3)
|
Â
(3)
|
Common Stock
|
11,188
|
$
(3)
|
D
|
Â
|
Series D Preferred Stock
|
Â
(3)
|
Â
(3)
|
Common Stock
|
13,256
|
$
(3)
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
The shares subject to this option shall vest and become exercisable at a rate of 25% of the total number of shares on the one-year anniversary of the vesting commencement date and 1/48th of the total number of shares each monthly anniversary of the vesting commencement date thereafter, for so long as the recipient of the option provides continuous service to the issuer, such that the total number of shares shall be fully vested on the four-year anniversary of the vesting commencement date. |
(2) |
The shares subject to this option shall vest and become exercisable at a rate of 1/48th of the total number of shares underlying the options each monthly anniversary of the vesting commencement date, for so long as the recipient of the option provides continuous service to the issuer, such that the total number of shares underlying the options shall be fully vested on the four-year anniversary of the vesting commencement date. |
(3) |
The preferred stock is convertible at any time, at the holder's election, and has no expiration date. The preferred stock will automatically convert into common stock on a 1-to-1 basis upon closing of the initial public offering of the issuer. |