0001209191-12-051139.txt : 20121101
0001209191-12-051139.hdr.sgml : 20121101
20121101121314
ACCESSION NUMBER: 0001209191-12-051139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121031
FILED AS OF DATE: 20121101
DATE AS OF CHANGE: 20121101
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: 121172741
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
X0306
4
2012-10-31
0
0001013606
ENDOLOGIX INC /DE/
ELGX
0001491299
Wilder Thomas
1841 PORT SHEFFIELD PLACE
NEWPORT BEACH
CA
92660
1
0
0
0
Common Stock
2012-10-31
2012-10-31
4
M
0
10000
8.26
A
17102
D
Common Stock
2012-10-31
2012-10-31
4
S
0
10000
13.56
D
7102
D
Option to Purchase
8.26
2012-10-31
2012-10-31
4
M
0
10000
0.00
D
2012-05-25
2021-05-25
Common Stock
10000
10000
D
Thomas C. Wilder by Robert J. Krist, Attorney-in-Fact for Reporting Person
2012-11-01