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) 04/25/2018 |
3. Issuer Name and Ticker or Trading Symbol
NLIGHT, INC. [ LASR ] |
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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) |
Common Stock | 92,326(3) | I | See FootNote(3) |
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 C Preferred Stock | (1) | (2) | Common Stock | 1,478,204(3) | (2) | I | See Footnote(3) |
Series D Preferred Stock | (1) | (2) | Common Stock | 1,794,454(3) | (2) | I | See Footnote(3) |
Series E Preferred Stock | (1) | (2) | Common Stock | 401,632(3) | (2) | I | See Footnote(3) |
Series F Preferred Stock | (1) | (2) | Common Stock | 1,457,725(3) | (2) | I | See Footnote(3) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Each share of preferred stock automatically converts into one share of common stock immediately prior to the closing of the Issuer's initial public offering. |
2. Each share has no expiration date and no conversion price. |
3. All shares are held of record by Mohr, Davidow Ventures VI, L.P., as nominee for Mohr, Davidow Ventures VI, L.P., MDV VI Leaders' Fund, L.P., MDV Entrepreneurs' Network Fund III (A), L.P., and MDV Entrepreneurs' Network Fund III (B), L.P. (collectively, the "MDV Funds"). Sixth MDV Partners, L.L.C. is the general partner of each of the MDV Funds, and Jonathan Feiber and Nancy Schoendorf are managing members of Sixth MDV Partners, L.L.C. Each of Mr.Feiber, Ms.Schoendorf and Sixth MDV Partners, L.L.C. may be deemed to have shared voting and investment power over the shares held by the MDV Funds. Each of Mr.Feiber, Ms.Schoendorf and Sixth MDV Partners, L.L.C disclaims beneficial ownership of such shares, and this report shall not be deemed an admission that the Reporting Person or its managing members are the beneficial owner of such securities for Section 16 or any other purpose. |
/s/ Kerry Hill, as attorney-in-fact | 04/25/2018 | |
** 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. |