0001209191-20-032403.txt : 20200527
0001209191-20-032403.hdr.sgml : 20200527
20200527182723
ACCESSION NUMBER: 0001209191-20-032403
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200527
FILED AS OF DATE: 20200527
DATE AS OF CHANGE: 20200527
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: 20916526
MAIL ADDRESS:
STREET 1: C/O FOXHOLLOW TECHNOLOGIES, INC.
STREET 2: 740 BAY ROAD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
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: 9 PARKER, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-923-4747
MAIL ADDRESS:
STREET 1: 9 PARKER, SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
FORMER COMPANY:
FORMER CONFORMED NAME: Inceptus Newco1 Inc.
DATE OF NAME CHANGE: 20110923
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-27
0
0001531048
Inari Medical, Inc.
NARI
0001304099
Hoffman William
C/O INARI MEDICAL, INC.
9 PARKER, SUITE 100
IRVINE
CA
92618
1
1
0
0
President and CEO
Common Stock
2020-05-27
4
P
0
13095
19.00
A
1232283
D
Common Stock
2020-05-27
4
C
0
89633
A
1321916
D
Series B Preferred Stock
2020-05-27
4
C
0
29925
D
Common Stock
29925
0
D
Series C Preferred Stock
2020-05-27
4
C
0
59708
D
Common Stock
59708
0
D
Upon the closing of the Issuer's initial public offering, each share of preferred stock automatically converted into shares of the Issuer's common stock on a one-for-one basis.
/s/ Mitchell Hill, Attorney-in-Fact for William Hoffman
2020-05-27