0001251769-21-000081.txt : 20210621
0001251769-21-000081.hdr.sgml : 20210621
20210621105147
ACCESSION NUMBER: 0001251769-21-000081
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210617
FILED AS OF DATE: 20210621
DATE AS OF CHANGE: 20210621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pacitti David
CENTRAL INDEX KEY: 0001722733
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35706
FILM NUMBER: 211028433
MAIL ADDRESS:
STREET 1: C/O APOLLO ENDOSURGERY, INC., 1120 S.
STREET 2: CAPITAL OF TEXAS HWY, BLDG. 1, SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Endosurgery, Inc.
CENTRAL INDEX KEY: 0001251769
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 161630142
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
BUSINESS PHONE: 512-279-5100
MAIL ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH, INC
DATE OF NAME CHANGE: 20060316
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH INC
DATE OF NAME CHANGE: 20051202
FORMER COMPANY:
FORMER CONFORMED NAME: NEIGHBORHOOD CONNECTIONS INC
DATE OF NAME CHANGE: 20040323
4
1
wf-form4_162428709483516.xml
FORM 4
X0306
4
2021-06-17
0
0001251769
Apollo Endosurgery, Inc.
APEN
0001722733
Pacitti David
C/O APOLLO ENDOSURGERY, INC.
1120 S. CAP OF TX HWY, BLDG. 1, STE 300
AUSTIN
TX
78746
1
0
0
0
Common Stock
2021-06-17
4
A
0
3888
0
A
3888
D
Non-Qualified Stock Option (right to buy)
8.86
2021-06-17
4
A
0
5271
8.86
A
2022-06-17
2031-06-17
Common Stock
5271.0
64710
D
Fully vested at one year anniversary of grant date.
/s/ Brian Szymczak - Attorney-in-Fact
2021-06-21