SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

MECKLAI HUSSEIN

(Last)

(First)

(Middle)

400 FAIRVIEW AVENUE NORTH

SUITE 1200

(Street)

SEATTLE

98109

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
02/06/2022

3. Issuer Name and Ticker or Trading Symbol
IMPINJ INC [ PI ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	Chief Operating Officer

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	24,921	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Stock Option (right to buy)	⁽¹⁾	12/10/2028	Common Stock	22,532	$17.75	D
Stock Option (right to buy)	⁽¹⁾	12/10/2028	Common Stock	75,758	$17.75	D
Stock Option (right to buy)	⁽²⁾	07/31/2029	Common Stock	4,375	$36.2	D
Stock Option (right to buy)	⁽³⁾	06/15/2030	Common Stock	8,334	$26.84	D
Stock Option (right to buy)	⁽³⁾	06/29/2030	Common Stock	5,001	$26.62	D
Restricted Stock Units⁽⁴⁾	⁽⁵⁾	⁽⁵⁾	Common Stock	3,750	$0.00	D
Restricted Stock Units⁽⁴⁾	⁽⁶⁾	⁽⁶⁾	Common Stock	7,813	$0.00	D
Restricted Stock Units⁽⁴⁾	⁽⁶⁾	⁽⁶⁾	Common Stock	4,688	$0.00	D
Restricted Stock Units⁽⁴⁾	⁽⁷⁾	⁽⁷⁾	Common Stock	17,500	$0.00	D

Explanation of Responses:

1. One-fourth of the shares subject to the option vested on December 5, 2019, and 1/48th of the shares subject to the option shall vest each month thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

2. One-fourth of the shares subject to the option vested July 31, 2020, and 1/48th of the shares subject to the option shall vest each month thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

3. One-fourth of the shares subject to the option vested on June 15, 2021, and 1/48th of the shares subject to the option shall vest each month thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

4. Each restricted stock unit represents a contingent right to receive one share of Impinj common stock.

5. One-fourth of the shares subject to the grant shall vest on July 31, 2020, and 1/16th of the shares subject to the grant shall vest each quarter thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

6. One-fourth of the shares subject to the grant shall vest on June 15, 2021, and 1/16th of the shares subject to the grant shall vest each quarter thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

7. One-fourth of the shares subject to the grant shall vest on April 12, 2022, and 1/16th of the shares subject to the grant shall vest each quarter thereafter, subject to the Reporting Person's continued service to the Issuer through such date.

Remarks:

	/s/ Yukio Morikubo, attorney in fact on behalf of Hussein Mecklai	02/15/2022
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.