SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
WP X Finance, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/03/2019
3. Issuer Name and Ticker or Trading Symbol
Silk Road Medical Inc [ SILK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 19,901 D(1)(2)(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Series B Preferred Stock (4) (4) Common Stock 5,637,492(5) (4) D
Series C Preferred Stock (4) (4) Common Stock 5,904,180(6) (4) D
Series C Preferred Stock Warrant (Right to buy) (7) 08/07/2022 Common Stock 1,071,902 6.11 D(8)
Series C Preferred Stock Warrant (Right to buy) (7) 10/13/2023 Common Stock 1,074,072 6.11 D(8)
Series C Preferred Stock Warrant (Right to buy) (7) 08/07/2022 Common Stock 34,291 6.11 D(9)
Series C Preferred Stock Warrant (Right to buy) (7) 10/13/2023 Common Stock 34,361 6.11 D(9)
1. Name and Address of Reporting Person*
WP X Finance, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus X, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus X GP L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus X Partners, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus Private Equity X, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus Partners, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
WPP GP LLC

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
WPX GP, L.P.

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Warburg Pincus Partners GP LLC

(Last) (First) (Middle)
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE

(Street)
NEW YORK NY 10017

(City) (State) (Zip)
Explanation of Responses:
1. 19,285 of these shares are held of record by WP X Finance, L.P. ("WP X Finance") and 616 of these shares are held of record by Warburg Pincus X Partners, L.P. ("WPXP").
2. WPX GP, L.P., a Delaware limited partnership ("WPX GP"), is the managing general partner of WP X Finance. Warburg Pincus Private Equity X, L.P., a Delaware limited partnership ("WP X"), is the general partner of WPX GP. Warburg Pincus X, L.P., a Delaware limited partnership ("WPX LP"), is the general partner of WPX and WPXP. Warburg Pincus X GP L.P., a Delaware limited partnership ("WP X GP LP"), is the general partner of WPX LP. WPP GP LLC, a Delaware limited liability company ("WPP GP"), is the general partner of WP X GP LP. Warburg Pincus Partners, L.P., a Delaware limited partnership ("WP Partners"), is the managing member of WPP GP. Warburg Pincus Partners GP LLC, a Delaware limited liability company ("WP Partners GP"), is the general partner of WP Partners.
3. (continuation from footnote 2) Warburg Pincus & Co., a New York general partnership ("WP"), is the managing member of WP Partners GP. Charles R. Kaye and Joseph P. Landy are each Managing General Partners of WP and may each be deemed to control the Warburg Pincus entities. Messrs. Kaye and Landy disclaim beneficial ownership of all shares held by the Warburg Pincus entities.
4. Each share of Series B Preferred Stock and Series C Preferred Stock shall automatically convert into Common Stock on a one-for-one basis immediately prior to the closing of the Issuer's initial public offering of Common Stock and has no expiration date
5. 5,462,731 of these shares are held of record by WP X Finance and 174,761 of these shares are held of record by WPXP.
6. 5,721,152 of these shares are held of record by WP X Finance and 183,028 of these shares are held of record by WPXP.
7. All of the shares subject to this warrant are exercisable as of the date hereof.
8. This warrant is held by WP X Finance.
9. This warrant is held by WPXP.
Remarks:
Due to a 10-filer limitation, this is the first of two Forms 3 filed by entities and individuals related to WP X Finance, L.P.
See Exhibit 99.1 04/03/2019
** 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 Number.
Exhibit

Exhibit 99.1
Signatures of Reporting Persons
WP X FINANCE, L.P.
 
 
 
 
By: WPX GP, L.P., its managing general partner
 
 
 
 
By: Warburg Pincus Private Equity X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X GP L.P., its general partner
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 



WPX GP, L.P.
 
 
 
 
By: Warburg Pincus Private Equity X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X GP L.P., its general partner
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
 
 
 
 
 
 
 
 
WARBURG PINCUS PRIVATE EQUITY X, L.P.
 
 
 
 
By: Warburg Pincus X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X GP L.P., its general partner
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 



WARBURG PINCUS X PARTNERS, L.P.
 
 
 
 
By: Warburg Pincus X, L.P., its general partner
 
 
 
 
By: Warburg Pincus X GP L.P., its general partner
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
WARBURG PINCUS X, L.P.
 
 
 
 
By: Warburg Pincus X GP L.P., its general partner
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 



WARBURG PINCUS X GP L.P.
 
 
 
 
By: WPP GP LLC, its general partner
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
WPP GP LLC
 
 
 
 
By: Warburg Pincus Partners, L.P., its managing member
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 



WARBURG PINCUS PARTNERS, L.P.
 
 
 
 
By: Warburg Pincus Partners GP LLC, its general partner
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
WARBURG PINCUS PARTNERS GP LLC
 
 
 
 
By: Warburg Pincus & Co., its managing member
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
WARBURG PINCUS & CO.
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss
 
 
Title: Partner
 
 
CHARLES R. KAYE
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss, attorney-in-fact*



JOSEPH P. LANDY
 
 
 
 
By:
/s/ Robert B. Knauss
 
4/03/2019
**Signature of Reporting Person
 
Date
 
 
 
 
Name: Robert B. Knauss, attorney-in-fact*
*    The Power of Attorney given by each of Mr. Kaye and Mr. Landy was previously filed with the U.S. Securities and Exchange Commission on July 12, 2016 as an exhibit to a beneficial ownership report on Schedule 13D filed by WP LLC with respect to WEX Inc. and is hereby incorporated by reference.