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