0001686266-16-000005.txt : 20161209 0001686266-16-000005.hdr.sgml : 20161209 20161209172710 ACCESSION NUMBER: 0001686266-16-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161207 FILED AS OF DATE: 20161209 DATE AS OF CHANGE: 20161209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ENTELLUS MEDICAL INC CENTRAL INDEX KEY: 0001374128 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 204627978 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3600 HOLLY LANE NORTH STREET 2: SUITE 40 CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 763-463-1595 MAIL ADDRESS: STREET 1: 3600 HOLLY LANE NORTH STREET 2: SUITE 40 CITY: PLYMOUTH STATE: MN ZIP: 55447 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Farley Brian E CENTRAL INDEX KEY: 0001306117 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36814 FILM NUMBER: 162044836 MAIL ADDRESS: STREET 1: 2200 ZANKER ROAD STREET 2: SUITE F CITY: SAN JOSE STATE: CA ZIP: 95131 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-12-07 0 0001374128 ENTELLUS MEDICAL INC ENTL 0001306117 Farley Brian E 3600 HOLLY LANE NORTH SUITE 40 PLYMOUTH MN 55447 1 0 0 0 Common Stock, $0.001 par value 2016-12-07 4 S 0 2332 19.2 D 477249 D Common Stock, $0.001 par value 2016-12-07 4 S 0 919 19.1 D 476330 D Common Stock, $0.001 par value 2016-12-07 4 S 0 1749 19 D 475581 D These shares were sold under a pre-arranged sales plan pursuant to Rule 10b5-1 under the Securities Exchange Act of 1934, as amended. /s/ Brent A. Moen, attorney-in-fact 2016-12-08