0000950103-22-006023.txt : 20220405 0000950103-22-006023.hdr.sgml : 20220405 20220405160602 ACCESSION NUMBER: 0000950103-22-006023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burgess Vincent J CENTRAL INDEX KEY: 0001365408 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39430 FILM NUMBER: 22806785 MAIL ADDRESS: STREET 1: 2210 FARADAY AVE #100 CITY: CARLSBAD STATE: CA ZIP: 92008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Acutus Medical, Inc. CENTRAL INDEX KEY: 0001522860 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 451306615 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2210 FARADAY AVE STREET 2: SUITE 100 CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: 442-232-6080 MAIL ADDRESS: STREET 1: 2210 FARADAY AVE STREET 2: SUITE 100 CITY: CARLSBAD STATE: CA ZIP: 92008 4 1 dp170688_4-burgess.xml FORM 4 X0306 4 2022-04-01 0 0001522860 Acutus Medical, Inc. AFIB 0001365408 Burgess Vincent J C/O ACUTUS MEDICAL, INC. 2210 FARADAY AVE., SUITE 100 CARLSBAD CA 92008 1 1 0 0 Chief Executive Officer Common Stock 2022-04-01 4 F 0 3896 1.30 D 61469 D Represents shares that have been withheld by the issuer to satisfy income tax withholding and remittance obligations in connection with the vesting of (and related delivery of shares underlying) restricted stock units reported on a Form 4 filed on April 2, 2021. /s/ Tom Sohn as attorney-in-fact for Vincent J. Burgess 2022-04-05