0001209191-17-040484.txt : 20170616 0001209191-17-040484.hdr.sgml : 20170616 20170616161419 ACCESSION NUMBER: 0001209191-17-040484 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170614 FILED AS OF DATE: 20170616 DATE AS OF CHANGE: 20170616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMPINJ INC CENTRAL INDEX KEY: 0001114995 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 912041398 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-517-5300 MAIL ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALBERG TOM A CENTRAL INDEX KEY: 0001184752 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37824 FILM NUMBER: 17916292 MAIL ADDRESS: STREET 1: PO BOX 81226 CITY: SEATTLE STATE: WA ZIP: 98108-1226 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-14 0 0001114995 IMPINJ INC PI 0001184752 ALBERG TOM A 999 THIRD AVENUE 34TH FLOOR SEATTLE WA 98104 1 0 0 0 Restricted Stock Units 2017-06-14 4 A 0 2023 0.00 A Common Stock 2023 2023 D Each restricted stock unit represents a contingent right to receive one share of Impinj common stock. The restricted stock units will fully vest on June 14, 2018. Yukio Morikubo as Attorney in fact for Tom Alberg 2017-06-16