Initial Statement of Beneficial Ownership (3)
December 18 2020 - 4:16PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
Madryn Asset Management, LP |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/9/2020
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3. Issuer Name and Ticker or Trading Symbol
Venus Concept Inc. [VERO]
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(Last)
(First)
(Middle)
140 E. 45TH STREET, 15TH FLOOR |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
NEW YORK, NY 10017
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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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 | 621821 | I | See footnotes (1)(2) |
Common Stock | 1058777 | I | See footnotes (2)(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
Secured Subordinated Convertible Notes | 12/9/2020 | 12/9/2025 | Common Stock | 3039135 | $3.25 | I | See footnotes (1)(2) |
Secured Subordinated Convertible Notes | 12/9/2020 | 12/9/2025 | Common Stock | 5174744 | $3.25 | I | See footnotes (2)(3) |
Warrants | 12/9/2020 | 12/1/2026 | Common Stock | 66575 | $8.775 | I | See footnotes (1)(2) |
Warrants | 12/9/2020 | 12/1/2026 | Common Stock | 113357 | $8.775 | I | See footnotes (2)(3) |
Explanation of Responses: |
(1) | Represents securities held directly by Madryn Health Partners, LP ("Health Partners LP"). Madryn Health Management, LP, as investment advisor for Health Partners LP, and Madryn Health Advisors, LP, as general partner of Health Partners LP, may be deemed to be beneficial owners of the shares held directly by Health Partners LP. |
(2) | Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein. |
(3) | Represents securities held directly by Madryn Health Partners (Cayman Master), LP ("Cayman Master LP"). Madryn Health Management, LP, as investment advisor for Cayman Master LP, and Madryn Health Advisors, LP, as general partner of Cayman Master LP, may be deemed to be beneficial owners of the shares held directly by Cayman Master LP. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Madryn Asset Management, LP 140 E. 45TH STREET, 15TH FLOOR NEW YORK, NY 10017 |
| X |
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Madryn Health Partners, LP 140 E. 45TH STREET, 15TH FLOOR NEW YORK, NY 10017 |
| X |
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Madryn Health Partners (Cayman Master), LP 140 E. 45TH STREET, 15TH FLOOR NEW YORK, NY 10017 |
| X |
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Madryn Health Advisors, LP 140 E. 45TH STREET, 15TH FLOOR NEW YORK, NY 10017 |
| X |
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Signatures
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Madryn Asset Management, LP, By: /s/ John Ricciardi, Name: John Ricciardi, Title: Authorized Signatory | | 12/18/2020 |
**Signature of Reporting Person | Date |
Madryn Health Partners, LP, By: /s/ John Ricciardi, Name: John Ricciardi, Title: Authorized Signatory | | 12/18/2020 |
**Signature of Reporting Person | Date |
Madryn Health Partners (Cayman Master), LP., By: /s/ John Ricciardi, Name: John Ricciardi, Title: Authorized Signatory | | 12/18/2020 |
**Signature of Reporting Person | Date |
Madryn Health Advisors, LP, By: /s/ John Ricciardi, Name: John Ricciardi, Title: Authorized Signatory | | 12/18/2020 |
**Signature of Reporting Person | Date |
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