Craig C Taylor Form 3 Restoration Robotics / CRAIG C TAYLOR ownership change

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^*

TAYLOR CRAIG C

(Last)

(First)

(Middle)

C/O RESTORATION ROBOTICS, INC.

128 BAYTECH DRIVE

(Street)

SAN JOSE

95134

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/11/2017

3. Issuer Name and Ticker or Trading Symbol
Restoration Robotics Inc [ HAIR ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	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)

X	Form filed by One Reporting Person
	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)

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Series A Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	12,466	⁽¹⁾	I	See Footnote⁽³⁾
Series A Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	461,717	⁽¹⁾	I	See Footnote⁽⁴⁾
Series A Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	474,184	⁽¹⁾	I	See Footnote⁽⁵⁾
Series B Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	13,650	⁽¹⁾	I	See Footnote⁽³⁾
Series B Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	505,580	⁽¹⁾	I	See Footnote⁽⁴⁾
Series B Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	519,230	⁽¹⁾	I	See Footnote⁽⁵⁾
Series C Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	16,643	⁽¹⁾	I	See Footnote⁽³⁾
Series C Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	616,446	⁽¹⁾	I	See Footnote⁽⁴⁾
Series C Preferred Stock	⁽¹⁾	⁽²⁾	Common Stock	633,094	⁽¹⁾	I	See Footnote⁽⁵⁾

Explanation of Responses:

1. The shares of the Issuer's Preferred Stock automatically convert into shares of the Issuer's Common Stock, for no additional consideration, on a 1:1 basis immediately prior to the consummation of the Issuer's Initial Public Offering (the "IPO").

2. The expiration date is not relevant to the conversion of these securities.

3. The shares are directly held by Alloy Partners 2002, L.P. ("Alloy Partners 2002"). Alloy Ventures 2002, LLC ("Ventures 2002"), as the sole general partner of Alloy Partners 2002, may be deemed to beneficially own the shares held by Alloy Partners 2002. The Reporting Person is a managing director of Ventures 2002, and as such may be deemed to beneficially own the shares held by Alloy Partners 2002. The Reporting Person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.

4. The shares are directly held by Alloy Ventures 2002, L.P. ("Alloy Ventures 2002"). Ventures 2002, as the sole general partner of Alloy Ventures 2002, may be deemed to beneficially own the shares held by Alloy Ventures 2002. The Reporting Person is a managing director of Ventures 2002, and as such may be deemed to beneficially own the shares held by Alloy Ventures 2002. The Reporting Person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.

5. The shares are directly held by Alloy Ventures 2005, L.P. ("Alloy Ventures 2005"). Alloy Ventures 2005, LLC ("Ventures 2005"), as the sole general partner of Alloy Ventures 2005, may be deemed to beneficially own the shares held by Alloy Ventures 2005. The Reporting Person is a managing director of Ventures 2005, and as such may be deemed to beneficially own the shares held by Alloy Ventures 2005. The Reporting Person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.

	/s/ Charlotte Holland, Attorney-in-Fact for Craig C Taylor	10/11/2017
	** 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.

Craig C Taylor Form 3Restoration Robotics / CRAIG C TAYLOR ownership change