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