0001209191-12-054461.txt : 20121126 0001209191-12-054461.hdr.sgml : 20121126 20121126123528 ACCESSION NUMBER: 0001209191-12-054461 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121123 FILED AS OF DATE: 20121126 DATE AS OF CHANGE: 20121126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fauls Janet Mary CENTRAL INDEX KEY: 0001421507 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 121223778 MAIL ADDRESS: STREET 1: 11 STUDEBAKER CITY: IRVINE STATE: CA ZIP: 92618 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 2012-11-23 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001421507 Fauls Janet Mary ENDOLOGIX, INC. 11 STUDEBAKER IRVINE CA 92618 0 1 0 0 Vice President RA/QA/QC Common Stock 2012-11-23 2012-11-23 4 M 0 15000 5.25 A 75450 D Common Stock 2012-11-23 2012-11-23 4 M 0 10000 3.40 A 85450 D Common Stock 2012-11-23 2012-11-23 4 M 0 8000 4.32 A 93450 D Common Stock 2012-11-23 2012-11-23 4 S 0 33000 13.67 D 60450 D Option to Purchase 5.25 2012-11-23 2012-11-23 4 M 0 15000 0.00 D 2006-11-07 2015-11-07 Common Stock 15000 0 D Option to Purchase 3.40 2012-11-23 2012-11-23 4 M 0 10000 0.00 D 2007-05-23 2016-05-23 Common Stock 10000 0 D Option to Purchase 4.32 2012-11-23 2012-11-23 4 M 0 8000 0.00 D 2008-05-22 2017-05-22 Common Stock 8000 0 D Janet M. Fauls by Robert J. Krist, Attorney-in-Fact for Reporting Person. 2012-11-26