0001567619-21-011225.txt : 20210526
0001567619-21-011225.hdr.sgml : 20210526
20210526210333
ACCESSION NUMBER: 0001567619-21-011225
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210526
DATE AS OF CHANGE: 20210526
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: 21968216
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
2021-05-25
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
2021-05-25
4
A
0
1167
0.00
A
237722
D
Common Stock
38054
I
See footnote
Common Stock
21800
I
See footnote
Common Stock
30218
I
See footnote
Common Stock
2
I
See footnote
Common Stock
47980
I
See footnote
Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. 100% of the RSUs shall vest on the earlier of (i) one year anniversary of May 25, 2021 or (ii) the next Annual Meeting following May 25, 2021, subject to the Reporting Person's continued service to the issuer.
Includes 1,167 RSUs.
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 Retained Annuity Trust U/A/D May 22, 2017.
Shares held by Michael F. DeMane, Trustee, Michael F. DeMane 2018 Retained Annuity Trust U/A 07/16/2018.
Shares held by Michael F. DeMane & Catherine Q. DeMane, Trustees, Michael F. DeMane Revocable Trust U/A 10/07/2011.
Shares held by Michael F. DeMane, Trustee, Michael F. DeMane 2021 Retained Annuity Trust U/A 04/23/2021.
/s/ Kashif Rashid, as Attorney-in-Fact for Michael DeMane
2021-05-26