Mako Surgical Corp. - Statement of Changes in Beneficial Ownership (4)
February 22 2008 - 5:00PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Stansky Michael P
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2. Issuer Name
and
Ticker or Trading Symbol
MAKO Surgical Corp.
[
MAKO
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O TUDOR INVESTMENT CORPORATION, 50 ROWES WHARF
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/20/2008
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(Street)
BOSTON, MA 02110
(City)
(State)
(Zip)
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4. 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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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2/20/2008
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C
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9862
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A
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(1)
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9862
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I
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By The Altar Rock Fund L.P.
(2)
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Common Stock
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2/20/2008
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C
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1107917
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A
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(1)
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1107917
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I
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By The Raptor Global Portfolio Ltd.
(3)
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Common Stock
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2/20/2008
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C
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368855
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A
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(1)
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368855
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I
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By The Tudor BVI Global Portfolio L.P.
(4)
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Common Stock
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2/20/2008
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P
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1677
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A
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$10.00
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11539
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I
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By The Altar Rock Fund L.P.
(2)
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Common Stock
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2/20/2008
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P
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189827
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A
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$10.00
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1297744
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I
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By The Raptor Global Portfolio Ltd.
(3)
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Common Stock
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2/20/2008
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P
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58496
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A
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$10.00
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427351
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I
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By The Tudor BVI Global Portfolio L.P.
(4)
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Series C Convertible Preferred Stock
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(1)
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2/20/2008
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C
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9862
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2/6/2007
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(1)
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Common Stock
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9862
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$0.00
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0
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I
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By The Altar Rock Fund L.P.
(2)
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Series C Convertible Preferred Stock
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(1)
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2/20/2008
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C
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1107917
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2/6/2007
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(1)
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Common Stock
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1107917
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$0.00
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0
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I
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By The Raptor Global Portfolio Ltd.
(3)
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Series C Convertible Preferred Stock
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(1)
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2/20/2008
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C
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368855
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2/6/2007
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(1)
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Common Stock
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368855
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$0.00
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0
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I
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By The Tudor BVI Global Portfolio L.P.
(4)
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Explanation of Responses:
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(
1)
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The convertible preferred stock automatically converted into shares of MAKO Surgical Corp. common stock at the closing of the issuer's initial public offering and had no expiration date.
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(
2)
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These shares are owned directly by The Altar Rock Fund L.P. Tudor Investment Corporation, of which the reporting person is a Managing Director, acts as general partner to The Altar Rock Fund L.P. As such, the reporting person may be deemed to be the indirect beneficial owner of the shares, but the reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
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(
3)
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These shares are owned directly by The Raptor Global Portfolio Ltd., to which Tudor Investment Corporation acts as investment advisor. As the Managing Director of Tudor Investment Corporation, the reporting person may be deemed to be the indirect beneficial owner of the shares, but the reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
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(
4)
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These shares are owned directly by The Tudor BVI Global Portfolio L.P., to which Tudor Investment Corporation acts as investment advisor. As a Managing Director of Tudor Investment Corporation, the reporting person may be deemed to be the indirect beneficial owner of the shares, but the reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Stansky Michael P
C/O TUDOR INVESTMENT CORPORATION
50 ROWES WHARF
BOSTON, MA 02110
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X
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Signatures
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/s/Menashe R. Frank, attorney in fact
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2/22/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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