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