0001013606-19-000018.txt : 20190102 0001013606-19-000018.hdr.sgml : 20190102 20190102201132 ACCESSION NUMBER: 0001013606-19-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181230 FILED AS OF DATE: 20190102 DATE AS OF CHANGE: 20190102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYDEN JEREMY B. CENTRAL INDEX KEY: 0001650737 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 19503353 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: 9495984741 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 4 1 wf-form4_154647787146516.xml FORM 4 X0306 4 2018-12-30 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001650737 HAYDEN JEREMY B. 2 MUSICK IRVINE CA 92618 0 1 0 0 General Counsel Option to Purchase 0.7445 2018-12-30 4 A 0 216449 0.7445 A 2019-12-30 2028-12-30 Common Stock 216449.0 216449 D 100% of the option award shall vest on December 30, 2019. Jeremy Hayden by Timothy N. Brady, Attorney-in-Fact for Reporting Person 2019-01-02