Form Type: 4

SEC EDGAR Link
Accession Number:0001628280-21-018955
Date:2021-09-17
Issuer: PROCEPT BIOROBOTICS CORP (PRCT)
Original Submission Date:

Reporting Person:

KRUMMEL THOMAS M
C/O PROCEPT BIOROBOTICS CORPORATION
900 ISLAND DRIVE REDWOOD CITY, CA 94065

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2021-09-17 C 5,963 a $0.00 75,919 direct
COMMON STOCK 2021-09-17 P 5,000 a $25.00 80,919 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
SERIES C CONVERTIBLE PREFERRED STOCK 0.0 2021-09-17 deemed execution date C 5,963 (d) common stock 5,963 $0.00 0 direct
Footnotes
IDfootnote
f1 each share of series a preferred stock , series b preferred stock, series c preferred stock, series d preferred stock, series e preferred stock, series f preferred stock and series g preferred stock (collectively, the "preferred stock") will convert automatically into one share of common stock upon the closing of the issuer's initial public offering. these shares had no expiration date.
f2 represents a purchase in the issuer's public offering.
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