0001246360-18-000293.txt : 20180124 0001246360-18-000293.hdr.sgml : 20180124 20180124174917 ACCESSION NUMBER: 0001246360-18-000293 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180122 FILED AS OF DATE: 20180124 DATE AS OF CHANGE: 20180124 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: 18546222 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 form.xml PRIMARY DOCUMENT X0306 4 2018-01-22 false 0001114995 IMPINJ INC PI 0001578147 DOSSETT JEFFREY 400 FAIRVIEW AVE N. SUITE 1200 SEATTLE WA 98109 false true false false EVP, Sales & Marketing STOCK OPTION (RTB) 25.31 2018-01-22 4 A false 25000 0 A 2028-01-22 COMMON STOCK 25000 25000 D One-fourth of the shares subject to the option shall vest on January 1, 2019, and 1/48th of the shares subject to the option shall vest each month thereafter. Yukio Morikubo 2018-01-24