Form D Raw Data - Electronic Filing Depository

EFDID: 105790EFD: Raw Data

Issuer: Restoration Robotics Inc (0001409269) - D

Accession: 0001140361-14-040551 () (EDGAR Files) (Form D)

Edgar Posted: Nov. 6, 2014
EFD Posted: Nov. 6, 2014

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< entityName > Restoration Robotics Inc </ entityName >

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< street1 > 128 Baytech Drive </ street1 >

< city > San Jose </ city >

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< zipCode > 95134 </ zipCode >

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< issuerPhoneNumber > (408) 883-6888 </ issuerPhoneNumber >

< jurisdictionOfInc > DELAWARE </ jurisdictionOfInc >

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< recipientName > Josh Barg </ recipientName >

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< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

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< recipientName > Andrew Gallion </ recipientName >

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- < recipientAddress >

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</ recipientAddress >

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< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Rich Goldstein </ recipientName >

< recipientCRDNumber > 851676 </ recipientCRDNumber >

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- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

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</ recipientAddress >

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< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Paul Coviello </ recipientName >

< recipientCRDNumber > 1051224 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

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< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

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< description > ARKANSAS </ description >

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< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Mike Mullen </ recipientName >

< recipientCRDNumber > 1428116 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Vincent D'Albora </ recipientName >

< recipientCRDNumber > 4822725 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

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< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< state > WI </ state >

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< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Annette Cassella </ recipientName >

< recipientCRDNumber > 4906644 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

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- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

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</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

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< description > ARKANSAS </ description >

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< state > WV </ state >

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</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Dan Claps </ recipientName >

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- < recipientAddress >

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</ recipientAddress >

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< description > IOWA </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > IN </ state >

< description > INDIANA </ description >

< state > KS </ state >

< description > KANSAS </ description >

< state > KY </ state >

< description > KENTUCKY </ description >

< state > LA </ state >

< description > LOUISIANA </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > MI </ state >

< description > MICHIGAN </ description >

< state > MN </ state >

< description > MINNESOTA </ description >

< state > MO </ state >

< description > MISSOURI </ description >

< state > NC </ state >

< description > NORTH CAROLINA </ description >

< state > NE </ state >

< description > NEBRASKA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > OK </ state >

< description > OKLAHOMA </ description >

< state > OR </ state >

< description > OREGON </ description >

< state > PA </ state >

< description > PENNSYLVANIA </ description >

< state > RI </ state >

< description > RHODE ISLAND </ description >

< state > TN </ state >

< description > TENNESSEE </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Stephen Jones </ recipientName >

< recipientCRDNumber > 4390289 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > CT </ state >

< description > CONNECTICUT </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

< state > DE </ state >

< description > DELAWARE </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > IA </ state >

< description > IOWA </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

< state > IN </ state >

< description > INDIANA </ description >

< state > KS </ state >

< description > KANSAS </ description >

< state > KY </ state >

< description > KENTUCKY </ description >

< state > LA </ state >

< description > LOUISIANA </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > MI </ state >

< description > MICHIGAN </ description >

< state > MN </ state >

< description > MINNESOTA </ description >

< state > MO </ state >

< description > MISSOURI </ description >

< state > NC </ state >

< description > NORTH CAROLINA </ description >

< state > NE </ state >

< description > NEBRASKA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

< state > OH </ state >

< description > OHIO </ description >

< state > OK </ state >

< description > OKLAHOMA </ description >

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< description > OREGON </ description >

< state > PA </ state >

< description > PENNSYLVANIA </ description >

< state > RI </ state >

< description > RHODE ISLAND </ description >

< state > TN </ state >

< description > TENNESSEE </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Chris Dewey </ recipientName >

< recipientCRDNumber > 603620 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

< state > CT </ state >

< description > CONNECTICUT </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

< state > DE </ state >

< description > DELAWARE </ description >

< state > FL </ state >

< description > FLORIDA </ description >

< state > GA </ state >

< description > GEORGIA </ description >

< state > IA </ state >

< description > IOWA </ description >

< state > IL </ state >

< description > ILLINOIS </ description >

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< description > INDIANA </ description >

< state > KS </ state >

< description > KANSAS </ description >

< state > KY </ state >

< description > KENTUCKY </ description >

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< description > LOUISIANA </ description >

< state > MA </ state >

< description > MASSACHUSETTS </ description >

< state > MD </ state >

< description > MARYLAND </ description >

< state > MI </ state >

< description > MICHIGAN </ description >

< state > MN </ state >

< description > MINNESOTA </ description >

< state > MO </ state >

< description > MISSOURI </ description >

< state > NC </ state >

< description > NORTH CAROLINA </ description >

< state > NE </ state >

< description > NEBRASKA </ description >

< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

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< description > OHIO </ description >

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< description > OREGON </ description >

< state > PA </ state >

< description > PENNSYLVANIA </ description >

< state > RI </ state >

< description > RHODE ISLAND </ description >

< state > TN </ state >

< description > TENNESSEE </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Jack Bruscianelli </ recipientName >

< recipientCRDNumber > 2113986 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< description > COLORADO </ description >

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< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

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< state > MI </ state >

< description > MICHIGAN </ description >

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< description > MISSOURI </ description >

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< state > NJ </ state >

< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

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< description > OREGON </ description >

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< description > PENNSYLVANIA </ description >

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< description > RHODE ISLAND </ description >

< state > TN </ state >

< description > TENNESSEE </ description >

< state > TX </ state >

< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Andy Tennent </ recipientName >

< recipientCRDNumber > 2152299 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< description > RHODE ISLAND </ description >

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< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Eric Schwartz </ recipientName >

< recipientCRDNumber > 6290330 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< description > NEW JERSEY </ description >

< state > NY </ state >

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< description > OREGON </ description >

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< description > PENNSYLVANIA </ description >

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< description > RHODE ISLAND </ description >

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< description > TENNESSEE </ description >

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< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > Stuart Updegrove </ recipientName >

< recipientCRDNumber > 2273334 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

< state > CO </ state >

< description > COLORADO </ description >

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< description > CONNECTICUT </ description >

< state > DC </ state >

< description > DISTRICT OF COLUMBIA </ description >

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< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

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< description > PENNSYLVANIA </ description >

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< description > RHODE ISLAND </ description >

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< description > TENNESSEE </ description >

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< description > TEXAS </ description >

< state > UT </ state >

< description > UTAH </ description >

< state > VA </ state >

< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

- < recipient >

< recipientName > David Morgan </ recipientName >

< recipientCRDNumber > 2035526 </ recipientCRDNumber >

< associatedBDName > National Securities Corporation </ associatedBDName >

< associatedBDCRDNumber > 7569 </ associatedBDCRDNumber >

- < recipientAddress >

< street1 > 410 Park Avenue, 14th Floor </ street1 >

< city > New York </ city >

< stateOrCountry > NY </ stateOrCountry >

< stateOrCountryDescription > NEW YORK </ stateOrCountryDescription >

< zipCode > 10022 </ zipCode >

</ recipientAddress >

- < statesOfSolicitationList >

< state > AL </ state >

< description > ALABAMA </ description >

< state > AR </ state >

< description > ARKANSAS </ description >

< state > AZ </ state >

< description > ARIZONA </ description >

< state > CA </ state >

< description > CALIFORNIA </ description >

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< description > COLORADO </ description >

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< description > ILLINOIS </ description >

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< description > NEW JERSEY </ description >

< state > NY </ state >

< description > NEW YORK </ description >

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< description > PENNSYLVANIA </ description >

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< description > RHODE ISLAND </ description >

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< description > VIRGINIA </ description >

< state > VT </ state >

< description > VERMONT </ description >

< state > WA </ state >

< description > WASHINGTON </ description >

< state > WI </ state >

< description > WISCONSIN </ description >

< state > WV </ state >

< description > WEST VIRGINIA </ description >

</ statesOfSolicitationList >

< foreignSolicitation > false </ foreignSolicitation >

</ recipient >

</ salesCompensationList >

- < offeringSalesAmounts >

< totalOfferingAmount > 45208699 </ totalOfferingAmount >

< totalAmountSold > 45208699 </ totalAmountSold >

< totalRemaining > 0 </ totalRemaining >

</ offeringSalesAmounts >

- < investors >

< hasNonAccreditedInvestors > false </ hasNonAccreditedInvestors >

< totalNumberAlreadyInvested > 396 </ totalNumberAlreadyInvested >

</ investors >

- < salesCommissionsFindersFees >

- < salesCommissions >

< dollarAmount > 3955144 </ dollarAmount >

</ salesCommissions >

- < findersFees >

< dollarAmount > 0 </ dollarAmount >

</ findersFees >

</ salesCommissionsFindersFees >

- < useOfProceeds >

- < grossProceedsUsed >

< dollarAmount > 0 </ dollarAmount >

</ grossProceedsUsed >

</ useOfProceeds >

- < signatureBlock >

< authorizedRepresentative > false </ authorizedRepresentative >

- < signature >

< issuerName > Restoration Robotics Inc </ issuerName >

< signatureName > /s/ Jim McCollum </ signatureName >

< nameOfSigner > Jim McCollum </ nameOfSigner >

< signatureTitle > President and Chief Executive Officer </ signatureTitle >

< signatureDate > 2014-11-06 </ signatureDate >

</ signature >

</ signatureBlock >

</ offeringData >

</ edgarSubmission >