0001209191-21-039968.txt : 20210611 0001209191-21-039968.hdr.sgml : 20210611 20210611175023 ACCESSION NUMBER: 0001209191-21-039968 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210610 FILED AS OF DATE: 20210611 DATE AS OF CHANGE: 20210611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VAN OPPEN PETER H CENTRAL INDEX KEY: 0001057881 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37824 FILM NUMBER: 211012510 MAIL ADDRESS: STREET 1: P O BOX 97057 CITY: REDMOND STATE: WA ZIP: 98073-9757 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMPINJ INC CENTRAL INDEX KEY: 0001114995 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 912041398 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-517-5300 MAIL ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-10 0 0001114995 IMPINJ INC PI 0001057881 VAN OPPEN PETER H 400 FAIRVIEW AVENUE NORTH SUITE 1200 SEATTLE WA 98109 1 0 0 0 Common Stock 2021-06-10 4 M 0 3561 0.00 A 32825 D Restricted Stock Units 0.00 2021-06-10 4 M 0 3561 0.00 D Common Stock 3561 0 D Restricted Stock Units 0.00 2021-06-10 4 A 0 1087 0.00 A Common Stock 1087 1087 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of Impinj common stock. On March 10, 2020, the reporting person was granted 3,561 RSUs. These RSUs fully vested on March 10, 2021. The restricted stock units will fully vest on June 10, 2022. /s/ Yukio Morikubo, Attorney in fact for Peter Van Oppen 2021-06-11