0001209191-21-037769.txt : 20210603
0001209191-21-037769.hdr.sgml : 20210603
20210603171748
ACCESSION NUMBER: 0001209191-21-037769
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210602
FILED AS OF DATE: 20210603
DATE AS OF CHANGE: 20210603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOSSETT JEFFREY
CENTRAL INDEX KEY: 0001578147
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37824
FILM NUMBER: 21993562
MAIL ADDRESS:
STREET 1: 400 FAIRVIEW AVE. N
STREET 2: SUITE 1200
CITY: SEATTLE
STATE: WA
ZIP: 98109
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
2021-06-02
0
0001114995
IMPINJ INC
PI
0001578147
DOSSETT JEFFREY
400 FAIRVIEW AVE N. SUITE 1200
SEATTLE
WA
98109
0
1
0
0
Chief Revenue Officer
Common Stock
2021-06-02
4
M
0
1500
17.33
A
34005
D
Common Stock
2021-06-02
4
S
0
1500
52.56
D
32505
D
Stock Option (Right to Buy)
17.33
2021-06-02
4
M
0
1500
0.00
D
2028-05-16
Common Stock
1500
57759
D
The sales reported by Mr. Dossett were effected pursuant to a Rule 10b5-1 trading plan adopted on September 14, 2020.
One-fourth of the shares subject to the option vested on November 16, 2018, and 1/48th of the shares subject to the option shall vest on the 3rd day of each month thereafter
Yukio Morikubo, Attorney in fact for Jeffrey Dossett
2021-06-03