- Statement of Changes in Beneficial Ownership (4)
June 10 2011 - 5:05PM
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
*
Savarese John
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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)
3000 SAND HILL ROAD, BUILDING #1, SUITE 260
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/8/2011
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(Street)
MENLO PARK, CA 94025
(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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6/8/2011
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J
(1)
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425513
(1)
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D
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$0.00
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1813156
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I
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By Montreux Equity Partners IV, L.P.
(1)
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Common Stock
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6/9/2011
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S
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91867
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D
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$29.77
(2)
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1721289
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I
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By Montreux Equity Partners IV, L.P.
(3)
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Common Stock
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6/9/2011
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S
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14385
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D
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$30.21
(4)
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1706904
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I
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By Montreux Equity Partners IV, L.P.
(3)
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Common Stock
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6/8/2011
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J
(5)
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2701
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A
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$0.00
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5420
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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. 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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Explanation of Responses:
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(
1)
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Montreux Equity Partners IV, L.P. distributed the shares to its general and limited partners on a pro rata basis. The reporting person is a managing member of Montreux Equity Management IV, LLC, the general partner of Montreux Equity Partners IV, L.P., but he disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
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(
2)
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The sale price of the 91,867 shares reported on this Form 4 was between the range of $29.2317 per share and $30.1006 per share, with a weighted average sale price of $29.77 per share. Full information regarding the number of shares sold at each separate price will be provided to the Commission staff, the Issuer or any security holder of the Issuer upon request.
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(
3)
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The reported securities are owned directly by Montreux Equity Partners IV, L.P. The voting and disposition of the shares held by Montreux Equity Partners IV, L.P., is determined by Montreux Equity Management IV, LLC., the general partner of Montreux Equity Partners IV, L.P. The reporting person is a managing member of Montreux Equity Management IV, LLC, the general partner of Montreux Equity Partners IV, L.P., but he disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
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(
4)
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The sale price of the 14,385 shares reported on this Form 4 was between the range of $30.11 per share and $30.40 per share, with a weighted average sale price of $30.21 per share. Full information regarding the number of shares sold at each separate price will be provided to the Commission staff, the Issuer or any security holder of the Issuer upon request.
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(
5)
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The reporting person received a pro rata distribution of the shares from Montreux Equity Management IV, LLC, to which he serves as managing member. Montreux Equity Management IV, LLC, the general partner of Montreux Equity Partners IV, L.P., received such shares as part of a pro rata distribution of the shares from Montreux Equity Partners IV, L.P.
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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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Savarese John
3000 SAND HILL ROAD
BUILDING #1, SUITE 260
MENLO PARK, CA 94025
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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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6/10/2011
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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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