0001209191-21-026722.txt : 20210414
0001209191-21-026722.hdr.sgml : 20210414
20210414185016
ACCESSION NUMBER: 0001209191-21-026722
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210412
FILED AS OF DATE: 20210414
DATE AS OF CHANGE: 20210414
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOSSETT JEFFREY
CENTRAL INDEX KEY: 0001578147
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37824
FILM NUMBER: 21826888
MAIL ADDRESS:
STREET 1: 400 FAIRVIEW AVE. N
STREET 2: SUITE 1200
CITY: SEATTLE
STATE: WA
ZIP: 98109
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-12
0
0001114995
IMPINJ INC
PI
0001578147
DOSSETT JEFFREY
400 FAIRVIEW AVE N. SUITE 1200
SEATTLE
WA
98109
0
1
0
0
Chief Revenue Officer
Restricted Stock Units
0.00
2021-04-12
4
A
0
20000
0.00
A
Common Stock
20000
20000
D
Each restricted stock unit represents a contingent right to receive one share of Impinj common stock.
One-fourth of the shares subject to the grant shall vest on April 13, 2022, and 1/16th of the shares subject to the grant shall vest each quarter thereafter, subject to the Reporting Person's continued service to the Issuer through such date.
/s/ Yukio Morikubo, Attorney in fact for Jeffrey Dossett
2021-04-14