0001013606-15-000113.txt : 20150619 0001013606-15-000113.hdr.sgml : 20150619 20150619111311 ACCESSION NUMBER: 0001013606-15-000113 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20150528 FILED AS OF DATE: 20150619 DATE AS OF CHANGE: 20150619 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ENDOLOGIX INC /DE/ CENTRAL INDEX KEY: 0001013606 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 680328265 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 9495957200 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: RADIANCE MEDICAL SYSTEMS INC /DE/ DATE OF NAME CHANGE: 19990122 FORMER COMPANY: FORMER CONFORMED NAME: CARDIOVASCULAR DYNAMICS INC DATE OF NAME CHANGE: 19960506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ferracci Cecile CENTRAL INDEX KEY: 0001645664 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 15941653 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92602 3 1 wf-form3_143472678112071.xml FORM 3 X0206 3 2015-05-28 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001645664 Ferracci Cecile 2 MUSICK IRVINE CA 92618 0 1 0 0 General Manager, Europe Common Shares 28754 D Option to Purchase 11.48 2013-01-01 2022-01-01 Option to Purchase 20000.0 D Option to Purchase 14.08 2012-06-24 2022-05-24 Option to Purchase 3500.0 D Option to Purchase 13.99 2013-06-23 2023-05-23 Option to Purchase 6143.0 D Option to Purchase 13.17 2014-06-22 2024-05-22 Option to Purchase 13359.0 D Option to Purchase 16.59 2015-06-28 2025-05-28 Option to Purchase 18854.0 D 12,850 Shares performance stock unit awards with various milestones. 15,904 shares time based restricted stock units awards. 25% of the award vests after one year. 75% of the award vests ratable over remaining three years. Options vest ratably over forty-eight months. This Form 3 has been filed late due to administrative error. Cecile Ferracci by Timothy N Brady, Attorney-in-Fact for Reporting Person 2015-06-19 EX-24 2 poa.htm POWER OF ATTORNEY FOR: CECILE FERRACCI BY TIMOTHY N BRADY, ATTORNEY-IN-FACT FOR REPORTING PERSON
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS

    Know all by these presents, that the undersigned's hereby makes, constitutes and appoints Shelley B. Thunen &/or Timothy N. Brady as the undersigned's true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the name, place and stead of the undersigned to:

(1)    prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including any amendments thereto) with respect to the securities of Endologix, Inc., a Delaware corporation (the "Company"), with the United States Securities and Exchange Commission, any national securities exchanges and the Company, as considered necessary or advisable under Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations promulgated thereunder, as amended from time to time (the "Exchange Act");

(2)    seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to the undersigned and approves and ratifies any such release of information; and

(3)    perform any and all other acts which in the discretion of such attorney-in-fact are necessary or desirable for and on behalf of the undersigned in connection with the foregoing.

The undersigned acknowledges that:

(1)    this Power of Attorney authorizes, but does not require, such attorney-in-fact to act in their discretion on information provided to such attorney-in-fact without independent verification of such information;

(2)    any documents prepared and/or executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems necessary or desirable;

(3)    neither the Company nor such attorney-in-fact assumes (i) any liability for the undersigned's responsibility to comply with the requirement of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such requirements, or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and

(4)    this Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigned's obligations under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act.

    The undersigned hereby gives and grants the foregoing attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the foregoing matters as fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that such attorney-in-fact of, for an on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney.

    This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to such attorney-in-fact.

    IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 29th day of May, 2015.


                                                                    /s/ Cecile Ferracci
                                    Signature

                                                                    Cecile Ferracci
                                    Print Name


STATE OF CALIFORNIA    )
    )    ss.
COUNTY OF Orange        )

On __May 29, 2015__________ before me, ___Jason T. Powell_____, Notary Public, personally appeared ____Cecile Ferracci__________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.


WITNESS my hand and official seal
/s/ Jason T. Powell
SIGNATURE OF NOTARY PUBLIC