0001140361-17-047168.txt : 20171222 0001140361-17-047168.hdr.sgml : 20171222 20171222151915 ACCESSION NUMBER: 0001140361-17-047168 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171221 FILED AS OF DATE: 20171222 DATE AS OF CHANGE: 20171222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEMANE MICHAEL F CENTRAL INDEX KEY: 0001174533 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36715 FILM NUMBER: 171272558 MAIL ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NEVRO CORP CENTRAL INDEX KEY: 0001444380 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 562568057 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-251-0005 MAIL ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 4 1 doc1.xml FORM 4 X0306 4 2017-12-21 0 0001444380 NEVRO CORP NVRO 0001174533 DEMANE MICHAEL F C/O NEVRO CORP. 1800 BRIDGE PARKWAY REDWOOD CITY CA 94065 1 0 0 0 Common Stock 2017-12-21 4 M 0 41572 3.60 A 468885 D Common Stock 42554 I See footnote Common Stock 50000 I See footnote Stock Option (Right to Buy) 3.60 2017-12-21 4 M 0 41572 0.00 D 2023-05-14 Common Stock 41572 0 D Includes 1,518 restricted stock units. Shares held by Catherine Q. DeMane Trustee, Michael F. DeMane 2012 Irrevocable Trust U/A/D July 26, 2012. Shares held by Michael DeMane Trustee, Michael F. DeMane 2016 Retailed Annuity Trust U/A/D May 22, 2017. 100% of the shares subject to the option are fully vested and exercisable. /s/ Andrew Galligan, as Attorney-in-Fact for Michael DeMane 2017-12-22