UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1(b)
þ Rule 13d-1(c)
o Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. |
29365M109 |
1 | NAMES OF REPORTING PERSONS Kevin Douglas |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
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(a) o | |||||
(b) þ | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
United States | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | -0- | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 1,360,000 (1) | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | -0- | ||||
WITH: | 8 | SHARED DISPOSITIVE POWER | |||
1,700,000 (1)(2) | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
1,700,000 (1)(2) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
6.1% (2) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
IN |
Page 2 of 10
CUSIP No. |
29365M109 |
1 | NAMES OF REPORTING PERSONS Michelle Douglas |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
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(a) o | |||||
(b) þ | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
United States | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | -0- | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 1,360,000 (1) | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | -0- | ||||
WITH: | 8 | SHARED DISPOSITIVE POWER | |||
1,360,000 (1) | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
1,360,000(1) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
4.9%(2) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
IN |
Page 3 of 10
CUSIP No. |
29365M109 |
1 | NAMES OF REPORTING PERSONS K&M Douglas Trust (1) |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
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(a) o | |||||
(b) þ | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
California | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | -0- | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 510,000 (2) | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | -0- | ||||
WITH: | 8 | SHARED DISPOSITIVE POWER | |||
510,000 (2) | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
510,000 (2) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
1.8% (3) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
OO |
Page 4 of 10
CUSIP No. |
29365M109 |
1 | NAMES OF REPORTING PERSONS Douglas Family Trust (1) |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
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(a) o | |||||
(b) þ | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
California | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | 340,000 | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | -0- | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | -0- | ||||
WITH: | 8 | SHARED DISPOSITIVE POWER | |||
340,000 (2) | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
340,000 (2) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
1.2%(3) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
OO |
Page 5 of 10
CUSIP No. |
29365M109 |
1 | NAMES OF REPORTING PERSONS James Douglas and Jean Douglas Irrevocable Descendants Trust (1) |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) |
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(a) o | |||||
(b) þ | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
California | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | 850,000 | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | -0- | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | 850,000 | ||||
WITH: | 8 | SHARED DISPOSITIVE POWER | |||
-0- | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
850,000 | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | ||||
o | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | ||||
3.0%(2) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | ||||
OO |
Page 6 of 10
(a) | Name of Issuer: EnteroMedics Inc. |
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(b) | Address of Issuers Principal Executive Offices: 2800 Patton Road St. Paul, MN 55113 |
(1)(a) | NAME OF PERSONS FILING: Kevin Douglas Michelle Douglas |
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(b) | ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur, CA 94939 |
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(c) | CITIZENSHIP: United States |
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(d) | TITLE OF CLASS OF SECURITIES: Common Stock, par value $0.01 per share |
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(e) | CUSIP NUMBER: 29365M109 |
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(2)(a) | NAME OF PERSONS FILING: K&M Douglas Trust Douglas Family Trust James Douglas and Jean Douglas Irrevocable Descendants Trust |
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(b) | ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 125 E. Sir Francis Drake Blvd., Ste 400 Larkspur, CA 94939 |
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(c) | CITIZENSHIP: California |
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(d) | TITLE OF CLASS OF SECURITIES: Common Stock |
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(e) | CUSIP NUMBER: 29365M109 |
Page 7 of 10
(a) | o | Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). | ||||
(b) | o | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). | ||||
(c) | o | Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). | ||||
(d) | o | Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8) | ||||
(e) | o | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); | ||||
(f) | o | An employee benefit plan or endowment fund in accordance with §240.13d- 1(b)(1)(ii)(F); | ||||
(g) | o | A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); | ||||
(h) | o | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | ||||
(i) | o | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | ||||
(j) | o | Group, in accordance with §240.13d-1(b)(1)(ii)(J) |
Page 8 of 10
Page 9 of 10
Date: December 16, 2010 | * Kevin Douglas | |||
Kevin Douglas | ||||
Date: December 16, 2010 | * Michelle Douglas | |||
K&M Douglas Trust |
||||
Date: December 16, 2010 | * Kevin Douglas | |||
By: | Kevin Douglas | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Michelle Douglas | |||
By: | Michelle Douglas | |||
Title: | Trustee | |||
Douglas Family Trust |
||||
Date: December 16, 2010 | * James E. Douglas, Jr. | |||
By: | James E. Douglas, Jr. | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Jean A. Douglas | |||
By: | Jean A. Douglas | |||
Title: | Trustee | |||
James Douglas And Jean Douglas Irrevocable Descendants Trust |
||||
Date: December 16, 2010 | * Kevin Douglas | |||
By: | Kevin Douglas | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Michelle Douglas | |||
By: | Michelle Douglas | |||
Title: | Trustee |
*By: | /s/ Tim McGaw | |||
Tim McGaw | ||||
Attorney-in-fact |
Date: December 16, 2010 | * Kevin Douglas | |||
Kevin Douglas | ||||
Date: December 16, 2010 | * Michelle Douglas | |||
Michelle Douglas | ||||
K&M Douglas Trust |
||||
Date: December 16, 2010 | * Kevin Douglas | |||
By: | Kevin Douglas | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Michelle Douglas | |||
By: | Michelle Douglas | |||
Title: | Trustee | |||
Douglas Family Trust |
||||
Date: December 16, 2010 | * James E. Douglas, Jr. | |||
By: | James E. Douglas, Jr. | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Jean A. Douglas | |||
By: | Jean A. Douglas | |||
Title: | Trustee | |||
James Douglas And Jean Douglas Irrevocable Descendants Trust |
||||
Date: December 16, 2010 | * Kevin Douglas | |||
By: | Kevin Douglas | |||
Title: | Trustee | |||
Date: December 16, 2010 | * Michelle Douglas | |||
By: | Michelle Douglas | |||
Title: | Trustee |
*By: | /s/ Tim McGaw | |||
Tim McGaw | ||||
Attorney-in-fact |
Kevin Douglas |
||||
/s/ Kevin Douglas | ||||
Michelle Douglas |
||||
/s/ Michelle Douglas | ||||
K&M Douglas Trust |
||||
/s/ Kevin Douglas | ||||
By: | Kevin Douglas | |||
Title: | Trustee | |||
/s/ Michelle Douglas | ||||
By: | Michelle Douglas | |||
Title: | Trustee | |||
Douglas Family Trust |
||||
/s/ James E. Douglas | ||||
By: | James E. Douglas, Jr. | |||
Title: | Trustee | |||
/s/ Jean A. Douglas | ||||
By: | Jean A. Douglas | |||
Title: | Trustee | |||
James Douglas And Jean Douglas Irrevocable Descendants Trust |
||||
/s/ Kevin Douglas | ||||
By: | Kevin Douglas | |||
Title: | Trustee | |||
/s/ Michelle Douglas | ||||
By: | Michelle Douglas | |||
Title: | Trustee | |||