0001013606-18-000055.txt : 20180423 0001013606-18-000055.hdr.sgml : 20180423 20180423170602 ACCESSION NUMBER: 0001013606-18-000055 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180412 FILED AS OF DATE: 20180423 DATE AS OF CHANGE: 20180423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYDEN JEREMY B. CENTRAL INDEX KEY: 0001650737 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 18769459 MAIL ADDRESS: STREET 1: 2 MUSICK STREET 2: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 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 3 1 wf-form3_152451751372680.xml FORM 3 X0206 3 2018-04-12 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001650737 HAYDEN JEREMY B. 2 MUSICK IRVINE CA 92618 0 1 0 0 General Counsel Common Stock 47506 D Option to Purchase 4.21 2018-08-21 2027-08-21 Common Stock 236027.0 D Performance restricted stock unit award. Twenty-five percent of the options shall vest upon one year of service and the remaining balance will vest in 36 equal monthly installments thereafter. Jeremy B. Hayden by Timothy N. Brady, Attorney-in-Fact for Reporting Person 2018-04-23