Inspire Medical Systems, Inc. - FORM S-1/A - EX-4.3

Attached files

file	filename
EX-23.1 - EX-23.1 - Inspire Medical Systems, Inc.	a2235314zex-23_1.htm
EX-10.21 - EX-10.21 - Inspire Medical Systems, Inc.	a2235314zex-10_21.htm
EX-10.19 - EX-10.19 - Inspire Medical Systems, Inc.	a2235314zex-10_19.htm
EX-10.17 - EX-10.17 - Inspire Medical Systems, Inc.	a2235314zex-10_17.htm
EX-10.15 - EX-10.15 - Inspire Medical Systems, Inc.	a2235314zex-10_15.htm
EX-10.13 - EX-10.13 - Inspire Medical Systems, Inc.	a2235314zex-10_13.htm
EX-10.12 - EX-10.12 - Inspire Medical Systems, Inc.	a2235314zex-10_12.htm
EX-10.11 - EX-10.11 - Inspire Medical Systems, Inc.	a2235314zex-10_11.htm
EX-5.1 - EX-5.1 - Inspire Medical Systems, Inc.	a2235314zex-5_1.htm
EX-4.1 - EX-4.1 - Inspire Medical Systems, Inc.	a2235314zex-4_1.htm
EX-3.6 - EX-3.6 - Inspire Medical Systems, Inc.	a2235314zex-3_6.htm
EX-3.5 - EX-3.5 - Inspire Medical Systems, Inc.	a2235314zex-3_5.htm
EX-3.3 - EX-3.3 - Inspire Medical Systems, Inc.	a2235314zex-3_3.htm
EX-1.1 - EX-1.1 - Inspire Medical Systems, Inc.	a2235314zex-1_1.htm
S-1/A - S-1/A - Inspire Medical Systems, Inc.	a2235314zs-1a.htm

Exhibit 4.3

AMENDMENT NO. 1

TO THE

FIFTH AMENDED AND RESTATED INVESTOR RIGHTS AGREEMENT

This Amendment No. 1 to the Fifth Amended and Restated Investor Rights Agreement (this “Amendment”) is entered into as of April 20, 2018 by and among Inspire Medical Systems, Inc., a Delaware corporation (the “Company”), and certain stockholders of the Company party to the Investor Rights Agreement (as defined below) (collectively, the “Investors”). Capitalized terms used and not defined herein shall have the meaning set forth in the Investor Rights Agreement.

WHEREAS, the Company and the Investors previously entered into a Fifth Amended and Restated Investor Rights Agreement, dated as of October 25, 2016 (together with all schedules and exhibits thereto, the “Investor Rights Agreement”);

WHEREAS, pursuant to Section 4.10 of the Investor Rights Agreement, prior to an IPO, any provision of the Investor Rights Agreement may be amended or waived (either generally or in a particular instance and either retroactively or prospectively) with the written consent of the Company and an Investor or Investors holding at least sixty percent (60%) of the outstanding Preferred Stock voting together as a single class on an as-converted basis (the “Required Preferred Vote”);

WHEREAS, the Investors signing this Amendment hold shares of Preferred Stock sufficient to constitute the Required Preferred Vote; and

WHEREAS, the Company and the Investors desire to amend the Investor Rights Agreement as set forth below, such amendments to be effective immediately prior to the consummation of a Qualified IPO (as defined in the Certificate) (the “Effective Time”).

NOW THEREFORE, the parties hereto agree as follows.

1. Amendments.

(a) Section 1.2 of the Investor Rights Agreement is hereby amended as of the Effective Time to add the following as paragraph (d).

“(d) Termination of Restrictions on Transferability. The provisions set forth in paragraphs (a), (b) and (c) of this Section 1.2 shall terminate and be of no further force or effect immediately prior to the consummation of a Qualified IPO (as defined in the Certificate).”

(b) Section 3.11 of the Investor Rights Agreement is hereby amended as of the Effective Time to read as follows (with emphasis on the amendments):

“3.11 Termination of Covenants. The covenants set forth in Sections 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 3.10 and 3.12 shall terminate and be of no

further force or effect immediately prior to the consummation of a Qualified IPO (as defined in the Certificate).”

2. Governing Law. This Amendment shall be governed in all respects by the laws of the State of Delaware without regard to choice of laws or conflict of laws provisions thereof.

3. Counterparts. This Amendment may be executed in any number of counterparts and signatures may be delivered by facsimile, each of which may be executed by less than all parties, each of which shall be enforceable against the parties actually executing such counterparts, and all of which together shall constitute one instrument.

4. No Further Modifications or Amendment. Except as amended hereby, the Investor Rights Agreement shall remain in full force and effect and the parties agree that no other modification or amendment exists or is valid or enforceable.

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IN WITNESS WHEREOF, the Company and each Investor have executed this Amendment as of the date first set forth above.

COMPANY:

INSPIRE MEDICAL SYSTEMS, INC.


By:	/s/ Timothy P. Herbert
	Name:	Timothy P. Herbert
	Title:	Chief Executive Officer and President