0001209191-11-060123.txt : 20111207
0001209191-11-060123.hdr.sgml : 20111207
20111207182529
ACCESSION NUMBER: 0001209191-11-060123
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111205
FILED AS OF DATE: 20111207
DATE AS OF CHANGE: 20111207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wilder Thomas
CENTRAL INDEX KEY: 0001491299
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28440
FILM NUMBER: 111249566
MAIL ADDRESS:
STREET 1: 1841 PORT SHEFFIELD PLACE
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ENDOLOGIX INC /DE/
CENTRAL INDEX KEY: 0001013606
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 680328265
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11 STUDEBAKER
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 9495957200
MAIL ADDRESS:
STREET 1: 11 STUDEBAKER
CITY: IRVINE
STATE: CA
ZIP: 92618
FORMER COMPANY:
FORMER CONFORMED NAME: RADIANCE MEDICAL SYSTEMS INC /DE/
DATE OF NAME CHANGE: 19990122
FORMER COMPANY:
FORMER CONFORMED NAME: CARDIOVASCULAR DYNAMICS INC
DATE OF NAME CHANGE: 19960506
4
1
doc4.xml
FORM 4 SUBMISSION
X0304
4
2011-12-05
0
0001013606
ENDOLOGIX INC /DE/
ELGX
0001491299
Wilder Thomas
1841 PORT SHEFFIELD PLACE
NEWPORT BEACH
CA
92660
1
0
0
0
Common Stock
2011-12-05
2011-12-05
4
M
0
12500
4.36
A
12500
D
Common Stock
2011-12-05
2011-12-05
4
S
0
12500
11.49
D
0
D
Option to purchase
4.36
2011-12-05
4
M
0
12500
0.00
D
2011-05-20
2020-05-20
Common Stock
12500
37500
D
Thomas C. Wilder III by Robert J. Krist, Attorney-in-Fact for Reporting Person
2011-12-07