0001686266-17-000019.txt : 20171207
0001686266-17-000019.hdr.sgml : 20171207
20171207163757
ACCESSION NUMBER: 0001686266-17-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171207
FILED AS OF DATE: 20171207
DATE AS OF CHANGE: 20171207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Farley Brian E
CENTRAL INDEX KEY: 0001306117
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36814
FILM NUMBER: 171245183
MAIL ADDRESS:
STREET 1: 2200 ZANKER ROAD
STREET 2: SUITE F
CITY: SAN JOSE
STATE: CA
ZIP: 95131
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ENTELLUS MEDICAL INC
CENTRAL INDEX KEY: 0001374128
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 204627978
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3600 HOLLY LANE NORTH
STREET 2: SUITE 40
CITY: PLYMOUTH
STATE: MN
ZIP: 55447
BUSINESS PHONE: 763-463-1595
MAIL ADDRESS:
STREET 1: 3600 HOLLY LANE NORTH
STREET 2: SUITE 40
CITY: PLYMOUTH
STATE: MN
ZIP: 55447
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-12-07
0
0001374128
ENTELLUS MEDICAL INC
ENTL
0001306117
Farley Brian E
3600 HOLLY LANE NORTH
SUITE 40
PLYMOUTH
MN
55447
1
0
0
0
Common Stock, $0.001 par value
2017-12-07
4
S
0
101319
23.85
D
291743
D
These shares were sold under a pre-arranged sales plan pursuant to Rule 10b5-1 under the Securities Exchange Act of 1934, as amended.
Includes 2,500 shares that will be issued over time upon vesting pursuant to a restricted stock unit granted under the Entellus Medical, Inc. 2015 Incentive Award Plan.
/s/ Brent A. Moen, attorney-in-fact
2017-12-07