0001013606-19-000174.txt : 20191007 0001013606-19-000174.hdr.sgml : 20191007 20191007183551 ACCESSION NUMBER: 0001013606-19-000174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191003 FILED AS OF DATE: 20191007 DATE AS OF CHANGE: 20191007 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: 191141624 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_157048772825336.xml FORM 4 X0306 4 2019-10-03 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001650737 HAYDEN JEREMY B. 2 MUSICK IRVINE CA 92618 0 1 0 0 General Counsel Common Stock 2019-10-03 4 A 0 12500 0 A 36250 D Common Stock 2019-10-03 4 F 0 4210 3.53 D 32040 D This award was originally reported on a Form 4 filed with the Securities and Exchange Commission on April 3, 2019. 100% of the time-based restricted stock unit award vested pursuant to the terms of this award. Shares withheld on October 3, 2019 to satisfy statutory minimum tax withholding obligations related to shares vested on October 3, 2019. Jeremy Hayden by Timothy N. Brady, Attorney-in-Fact for Reporting Person 2019-10-07