Initial Statement of Beneficial Ownership (3)
06 Septembre 2022 - 10:35PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Sullivan Frederick
T. |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
9/1/2022
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3. Issuer Name and Ticker or Trading
Symbol Senseonics Holdings, Inc. [SENS] |
(Last)
(First)
(Middle)
C/O SENSEONICS HOLDINGS, INC., 20451 SENECA MEADOWS
PARKWAY |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
Chief Financial Officer / |
(Street)
GERMANTOWN, MD 20876
(City)
(State)
(Zip)
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5. If Amendment, Date Original
Filed(MM/DD/YYYY)
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6. Individual or Joint/Group
Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially
Owned
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1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Common Stock |
670556 (1) |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
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 |
Explanation of
Responses: |
(1) |
Includes 595,519 Restricted
Stock Units ("RSUs"), each of which represents a contingent right
to receive one share of the Issuer's common stock. The RSUs vest
over time through November 15, 2025, subject to the Reporting
Person's continuous service with the Issuer as of the applicable
vesting date. |
Remarks:
Exhibit List - Exhibit 24 - Power of Attorney |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Sullivan Frederick T.
C/O SENSEONICS HOLDINGS, INC.
20451 SENECA MEADOWS PARKWAY
GERMANTOWN, MD 20876 |
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|
Chief Financial Officer |
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Signatures
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/s/ Darren K. DeStefano |
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9/6/2022 |
**Signature of Reporting
Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
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). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
Senseonics (AMEX:SENS)
Graphique Historique de l'Action
De Mar 2023 à Mar 2023
Senseonics (AMEX:SENS)
Graphique Historique de l'Action
De Mar 2022 à Mar 2023