0001209191-23-033988.txt : 20230602 0001209191-23-033988.hdr.sgml : 20230602 20230602183154 ACCESSION NUMBER: 0001209191-23-033988 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230602 DATE AS OF CHANGE: 20230602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Florin Daniel P CENTRAL INDEX KEY: 0001402459 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39562 FILM NUMBER: 23990648 MAIL ADDRESS: STREET 1: 56 E. BELL DRIVE CITY: WARSAW STATE: IN ZIP: 46581 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Pulmonx Corp CENTRAL INDEX KEY: 0001127537 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 700 CHESAPEAKE DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 650-364-0400 MAIL ADDRESS: STREET 1: 700 CHESAPEAKE DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 FORMER COMPANY: FORMER CONFORMED NAME: PULMONX DATE OF NAME CHANGE: 20001031 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-06-01 0 0001127537 Pulmonx Corp LUNG 0001402459 Florin Daniel P C/O PULMONX CORPORATION 700 CHESAPEAKE DRIVE REDWOOD CITY CA 94063 1 0 0 0 0 Common Stock 2023-06-01 4 A 0 12620 0.00 A 25752 D Common Stock 15789 I See footnote Represents grant of Restricted Stock Units ("RSU Grant") payable solely in common stock of the Issuer that vest on the earlier of (i) the one-year anniversary of the date of grant of June 1, 2023, or if such date is not a business day, then on the next business day, or (ii) the date of the Annual Meeting of the Stockholders for the year subsequent to the date such RSU Grant is made. The shares are directly held by Kelly A Florin Trust, for which the Reporting Person is a trustee. /s/ Lauren Cristina, Attorney-in-Fact for Daniel Philip Florin 2023-06-02