1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY, | SUITE B180 | (Street) | 2. Issuer Name and Ticker or Trading Symbol Apollo Endosurgery, Inc. [ APEN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | | |
3. Date of Earliest Transaction (Month/Day/Year) 10/30/2020 |
4. 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 | |
1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY, | SUITE B180 | (Street) |
1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person*PTV Special Opportunities I, L.P. | 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person*Pinto Technology Ventures GP II, L.P. | 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person* 3600 N CAPITAL OF TEXAS HWY | SUITE B180 | (Street) |
1. Name and Address of Reporting Person*PTV GP III Management, LLC | 3600 N CAPITAL OF TEXAS HWY, SUITE B180 | | (Street) |
| PTV Sciences II, L.P. By: Pinto Technology Ventures GP II, L.P., its general partner By: Pinto TV GP Company LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| PTV IV, L.P. By: PTV GP IV, L.P., its general partner By: PTV GP III Management, LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| PTV Special Opportunities I, L.P. By: PTV GP SO I, L.P., its general partner By: PTV GP III Management, LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| Pinto Technology Ventures GP II, L.P. By: Pinto TV GP Company LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| PTV GP IV, L.P. By: PTV GP III Management, LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| PTV GP SO I, L.P. By: PTV GP III Management, LLC, its general partner By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| Pinto TV GP Company LLC By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| PTV GP III Management, LLC By: /s/ Matthew S. Crawford Its: Manager | 03/09/2020 |
| ** 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 4 (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. |