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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Mako Surgical Corp. (MM) | NASDAQ:MAKO | NASDAQ | Common Stock |
Price Change | % Change | Share Price | Bid Price | Offer Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|---|---|
0.00 | 0.00% | 29.99 | 0 | 01:00:00 |
FORM 3
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Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0104 Expires: January 31, 2008 Estimated average burden hours per response... 0.5 |
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1. Name and Address of Reporting Person * Dewey Christopher C |
2. Date of Event Requiring Statement (MM/DD/YYYY)
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3. Issuer Name and Ticker or Trading Symbol MAKO Surgical Corp. [MAKO] |
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
___
X
___ 10% Owner
_____ Officer (give title below) _____ Other (specify below) |
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5. 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 |
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 | 1409900 | I | By Z-KAT, Inc. (1) |
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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Convertible Preferred Stock | 12/17/2004 | (2) | Common Stock | 291372 (2) | (2) | D | |
Series A Convertible Preferred Stock | 1/11/2008 | (2) | Common Stock | 3300 (2) (3) | (2) | I | By Daughter |
Series A Convertible Preferred Stock | 1/11/2008 | (2) | Common Stock | 3300 (2) (3) | (2) | I | By Daughter |
Series A Convertible Preferred Stock | 6/29/2005 | (2) | Common Stock | 22984 (2) | (2) | D | |
Series B Convertible Preferred Stock | 7/14/2005 | (2) | Common Stock | 190019 (2) | (2) | D | |
Series C Convertible Preferred Stock | 2/6/2007 | (2) | Common Stock | 214302 (2) | (2) | D | |
Common Stock Warrants (right to buy) | 12/17/2004 | 12/17/2014 | Common Stock | 111182 | $3.00 | D |
Explanation of Responses: | |
( 1) | The reporting person is a member of the board of directors of Z-KAT, Inc. and serves as the acting Chief Executive Officer of Z-KAT, Inc., but he disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. |
( 2) | The convertible preferred stock has no expiration date. As a result of a one-for-3.03 reverse split of MAKO Surgical Corp. common stock, each share of convertible preferred stock is convertible into .330033 of a share of common stock. Accordingly, upon the closing of the issuer's initial public offering, the convertible preferred stock will convert into the number of shares of common stock set forth in Column 3. |
( 3) | The reporting person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. |
Remarks:
Exhibit List Exhibit 24 - Power of Attorney |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Dewey Christopher C
BOX 23 173 LAMINGTON ROAD OLDWICK, NJ 08858 |
X | X |
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Signatures
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/s/Menashe R. Frank, attorney in fact | 2/14/2008 | |
** 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 control number. |
1 Year Mako Surgical Corp. (MM) Chart |
1 Month Mako Surgical Corp. (MM) Chart |
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