0001104659-21-049767.txt : 20210413
0001104659-21-049767.hdr.sgml : 20210413
20210413161646
ACCESSION NUMBER: 0001104659-21-049767
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210409
FILED AS OF DATE: 20210413
DATE AS OF CHANGE: 20210413
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NELSON MARILYN C
CENTRAL INDEX KEY: 0001199894
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38468
FILM NUMBER: 21823282
MAIL ADDRESS:
STREET 1: C/O EXXON MOBIL CORP
STREET 2: 5959 LAS COLINAS BLVD.
CITY: IRVING
STATE: TX
ZIP: 75039-2298
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Inspire Medical Systems, Inc.
CENTRAL INDEX KEY: 0001609550
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 261377674
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5500 WAYZATA BLVD
STREET 2: SUITE 1600
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
BUSINESS PHONE: 763-957-5037
MAIL ADDRESS:
STREET 1: 5500 WAYZATA BLVD
STREET 2: SUITE 1600
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
4
1
tm2112723-4_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-04-09
0
0001609550
Inspire Medical Systems, Inc.
INSP
0001199894
NELSON MARILYN C
C/O INSPIRE MEDICAL SYSTEMS, INC.
5500 WAYZATA BLVD., SUITE 1600
GOLDEN VALLEY
MN
55416
1
0
0
0
Common Stock
2021-04-09
4
A
0
94
218.45
A
3389
D
Common Stock
126236
I
See Footnote
Represents shares of common stock received in lieu of cash fees pursuant to the Company's Non-Employee Director Compensation Policy.
Shares held by GDN Holdings, LLC, of which the Reporting Person is the managing member.
/s/ Richard Buchholz, as Attorney-in-Fact for Marilyn Carlson Nelson
2021-04-13