0001246360-19-001980.txt : 20190815 0001246360-19-001980.hdr.sgml : 20190815 20190815164223 ACCESSION NUMBER: 0001246360-19-001980 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190731 FILED AS OF DATE: 20190815 DATE AS OF CHANGE: 20190815 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: 191030751 MAIL ADDRESS: STREET 1: PO BOX 81226 CITY: SEATTLE STATE: WA ZIP: 98108-1226 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 2019-07-31 false 0001114995 IMPINJ INC PI 0001184752 ALBERG TOM A 400 FAIRVIEW AVE N. SUITE 1200 SEATTLE WA 98109 true false false false COMMON STOCK 31219 I By Raven Trust Fund COMMON STOCK 2019-07-31 4 J false 1832 0 A 80628 D COMMON STOCK 2019-08-13 4 M false 4754 0 A 85382 D RESTRICTED STOCK UNITS - 2018 0 2019-08-13 4 M false 4754 0 D COMMON STOCK 0 0 D Shares held of record by Raven Trust Fund. Mr. Alberg shares voting and dispositive control over such shares but disclaims beneficial ownership over such shares. Distribution of Common Stock held by ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P. to its partners for no consideration. Each restricted stock unit represents a contingent right to receive one share of Impinj common stock. On August 13, 2018, the reporting person was granted 4,754 restricted stock units ("RSUs"). These RSUs fully vested on August 13, 2019. Yukio Morikubo as Attorney in fact for Tom Alberg 2019-08-15