0001251769-22-000057.txt : 20220616 0001251769-22-000057.hdr.sgml : 20220616 20220616211907 ACCESSION NUMBER: 0001251769-22-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220614 FILED AS OF DATE: 20220616 DATE AS OF CHANGE: 20220616 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shimer Julie Ann CENTRAL INDEX KEY: 0001391349 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35706 FILM NUMBER: 221022247 MAIL ADDRESS: STREET 1: 18453 LAS CUMBRES ROAD CITY: LOS GATOS STATE: CA ZIP: 95033 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_165542873057813.xml FORM 4 X0306 4 2022-06-14 0 0001251769 Apollo Endosurgery, Inc. APEN 0001391349 Shimer Julie Ann 1120 S CAPITAL OF TX HWY BUILDING ONE, STE 300 AUSTIN TX 78746 1 0 0 0 Common Stock 2022-06-14 4 A 0 14224 0 A 36021 D Stock Option (Right to Buy) 3.95 2022-06-14 4 A 0 19333 0 A 2023-06-14 2032-06-14 Common Stock 19333.0 19333 D Represents the grant of Restricted Stock Units ("RSUs"). Each RSU provides the Reporting Person with a contingent right to receive one share of the Issuer's common stock. The RSUs vest on the one year anniversary of the grant date. /s/ Brian Szymczak - Attorney-in-Fact 2022-06-16