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