0001013606-19-000134.txt : 20190806 0001013606-19-000134.hdr.sgml : 20190806 20190806171629 ACCESSION NUMBER: 0001013606-19-000134 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190805 FILED AS OF DATE: 20190806 DATE AS OF CHANGE: 20190806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mahboob Vaseem CENTRAL INDEX KEY: 0001655157 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 191003096 MAIL ADDRESS: STREET 1: 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_156512616822805.xml FORM 4 X0306 4 2019-08-05 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001655157 Mahboob Vaseem 2 MUSICK IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Stock 2019-08-05 4 A 0 32400 0 A 121720 D Option to Purchase 6.67 2019-08-05 4 A 0 64800 6.67 A 2019-09-05 2029-08-05 Common Stock 64800.0 64800 D Performance restricted stock unit award based on predetermined goals. Options vest ratably over thirty-six months. Vaseem Mahboob by Timothy N. Brady Attorney-in-Fact for Reporting Person 2019-08-06