0001127602-23-004871.txt : 20230213
0001127602-23-004871.hdr.sgml : 20230213
20230213163128
ACCESSION NUMBER: 0001127602-23-004871
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230213
DATE AS OF CHANGE: 20230213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MILDER DONALD B
CENTRAL INDEX KEY: 0001279660
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39293
FILM NUMBER: 23619015
MAIL ADDRESS:
STREET 1: ONE SANSOME STREET
STREET 2: SUITE 3630
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Inari Medical, Inc.
CENTRAL INDEX KEY: 0001531048
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 452902923
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6001 OAK CANYON, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-923-4747
MAIL ADDRESS:
STREET 1: 6001 OAK CANYON, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
FORMER COMPANY:
FORMER CONFORMED NAME: Inceptus Newco1 Inc.
DATE OF NAME CHANGE: 20110923
5
1
form5.xml
PRIMARY DOCUMENT
X0306
5
2022-12-31
0
0
0001531048
Inari Medical, Inc.
NARI
0001279660
MILDER DONALD B
C/O INARI MEDICAL, INC.
6001 OAK CANYON
IRVINE
CA
92618
1
Common Stock
2022-11-17
5
G
0
210000
0
D
2975614
I
Milder Community Property Trust
Common Stock
249606
D
The reporting person is a trustee of the Milder Community Property Trust DTD 11/7/91, as amended.
/s/ Angela Ahmad, attorney-in-fact for Donald Milder
2023-02-13