FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/29/2021 |
3. Issuer Name and Ticker or Trading Symbol
CVRx, Inc. [ CVRX ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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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) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: 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 | ||||
Series D-2 Preferred Stock | (1) | (1) | Common Stock | 101,958 | (2) | I | See footnote(3) |
Series E-2 Preferred Stock | (1) | (1) | Common Stock | 163,123 | (2) | I | See footnote(3) |
Series F-2 Preferred Stock | (1) | (1) | Common Stock | 191,864 | (2) | I | See footnote(3) |
Series G Preferred Stock | (1) | (1) | Common Stock | 3,038,630 | (4) | I | See footnote(3) |
Warrant to Purchase Series G Preferred Stock | (5) | (5) | Common Stock | 607,725 | 0.4 | I | See footnote(6) |
Stock Option (Right to Buy) | (7) | 12/14/2023 | Common Stock | 237 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 11/18/2024 | Common Stock | 158 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 08/06/2025 | Common Stock | 189 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 08/06/2025 | Common Stock | 165 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 08/06/2025 | Common Stock | 118 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 08/06/2025 | Common Stock | 71 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 08/06/2025 | Common Stock | 23 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 11/09/2025 | Common Stock | 85 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 02/01/2027 | Common Stock | 758 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (7) | 02/01/2027 | Common Stock | 489 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (8) | 02/15/2028 | Common Stock | 758 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (8) | 02/15/2028 | Common Stock | 300 | 0.237 | I | See footnote(3) |
Stock Option (Right to Buy) | (9) | 11/28/2028 | Common Stock | 758 | 1.186 | I | See footnote(3) |
Stock Option (Right to Buy) | (9) | 11/28/2028 | Common Stock | 142 | 1.186 | I | See footnote(3) |
Stock Option (Right to Buy) | (10) | 12/05/2029 | Common Stock | 758 | 3.955 | I | See footnote(3) |
Stock Option (Right to Buy) | (11) | 01/04/2031 | Common Stock | 1,264 | 5.141 | I | See footnote(3) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Each share of preferred stock is convertible, at the option of the holder, into shares of Common Stock at the then-effective conversion ratio for no additional consideration and has no expiration date. The shares of preferred stock will automatically convert into shares of Common Stock at the then-applicable conversion rate for no additional consideration (subject to the payment of cash in lieu of any fractional shares) upon the closing of the Issuer's initial public offering. The conversion rates reported reflect the conversion ratios under the Issuer's certificate of incorporation, adjusted to give effect to the previously effected 1-for-39.548 reverse stock split of the Common Stock. |
2. Shares of Series D-2 Preferred Stock, Series E-2 Preferred Stock and Series F-2 Preferred Stock are convertible into shares of Common Stock at a rate of 1-for-0.025857287. |
3. These securities reported as being indirectly beneficially owned by the designated Reporting Person are directly beneficially owned by Johnson & Johnson Innovation - JJDC, Inc., a wholly-owned subsidiary of the designated Reporting Person. |
4. Shares of Series G Preferred Stock are convertible into shares of Common Stock at a rate of 1-for-0.0632143218. |
5. The Warrant to Purchase Series G Preferred Shares shall become exercisable for Common Stock upon the closing of the Issuer's initial public offering and expires on the earlier of (i) an acquisition or asset transfer involving the Issuer or (ii) 180 days after receipt of the data from a certain clinical trial. |
6. These securities reported as being indirectly beneficially owned by the designated Reporting Person are directly beneficially owned by Biosense Webster, Inc., an affiliate of Johnson & Johnson Innovation - JJDC, Inc., a wholly-owned subsidiary of the designated Reporting Person. |
7. Fully vested. |
8. Vests as to 1/48th of the shares each month commencing March 16, 2018. |
9. Vests as to 1/48th of the shares each month commencing December 29, 2018. |
10. Vests as to 1/48th of the shares each month commencing January 6, 2020. |
11. Vests as to 1/48th of the shares each month commencing January 11, 2021. |
Remarks: |
Johnson & Johnson By: /s/ Matthew Orlando, Secretary | 06/29/2021 | |
Johnson & Johnson Innovation - JJDC, Inc. By: /s/ Sergio Calvo-Regueros, Assistant Treasurer | 06/29/2021 | |
** 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 Number. |