0001104659-21-060326.txt : 20210503
0001104659-21-060326.hdr.sgml : 20210503
20210503172012
ACCESSION NUMBER: 0001104659-21-060326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210429
FILED AS OF DATE: 20210503
DATE AS OF CHANGE: 20210503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCormick Shawn
CENTRAL INDEX KEY: 0001454092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38468
FILM NUMBER: 21884734
MAIL ADDRESS:
STREET 1: 9600-54TH AVENUE NORTH
STREET 2: SUITE 100
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
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
tm2114992-7_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-04-29
0
0001609550
Inspire Medical Systems, Inc.
INSP
0001454092
McCormick Shawn
C/O INSPIRE MEDICAL SYSTEMS, INC.
5500 WAYZATA BLVD., SUITE 1600
GOLDEN VALLEY
MN
55416
1
0
0
0
Stock Option (right to buy)
240.68
2021-04-29
4
A
0
1175
0
A
2031-04-29
Common Stock
1175
1175
D
The option vests and becomes exercisable on April 29, 2022, subject to the Reporting Person's continuous service to the Issuer through such date.
/s/ Richard Buchholz, as Attorney-in-Fact for Shawn T McCormick
2021-05-03