0001127602-23-000591.txt : 20230104 0001127602-23-000591.hdr.sgml : 20230104 20230104171625 ACCESSION NUMBER: 0001127602-23-000591 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221230 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hoffman William CENTRAL INDEX KEY: 0001304099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 23507927 MAIL ADDRESS: STREET 1: C/O INARI MEDICAL, INC. STREET 2: 9 PARKER, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2022-12-30 0001531048 Inari Medical, Inc. NARI 0001304099 Hoffman William C/O INARI MEDICAL, INC. 6001 OAK CANYON IRVINE CA 92618 1 1 President and CEO Common Stock 2022-12-30 4 M 0 165000 .4284 A 402481 D Stock Option .4284 2022-12-30 4 M 0 165000 0 D 2028-12-13 Common Stock 165000 65168 D The option is vested and exercisable as to 133,231 shares, and the remaining shares will vest and become exercisable in equal monthly installments until December 13, 2022. /s/ Angela Ahmad, attorney-in-fact for William Hoffman 2023-01-04