0001209191-22-037961.txt : 20220617
0001209191-22-037961.hdr.sgml : 20220617
20220617170656
ACCESSION NUMBER: 0001209191-22-037961
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220617
DATE AS OF CHANGE: 20220617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wilfong Diane E.
CENTRAL INDEX KEY: 0001374988
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40353
FILM NUMBER: 221024887
MAIL ADDRESS:
STREET 1: 333 LAKESIDE DRIVE
CITY: FOSTER CITY
STATE: CA
ZIP: 94404
FORMER NAME:
FORMER CONFORMED NAME: Wilfong Diane E
DATE OF NAME CHANGE: 20060907
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMPEL PHARMACEUTICALS INC
CENTRAL INDEX KEY: 0001445499
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 263058238
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0426
BUSINESS ADDRESS:
STREET 1: 201 ELLIOTT AVE. W
STREET 2: SUITE 260
CITY: SEATTLE
STATE: WA
ZIP: 98119
BUSINESS PHONE: 206-568-1466
MAIL ADDRESS:
STREET 1: 201 ELLIOTT AVE. W
STREET 2: SUITE 260
CITY: SEATTLE
STATE: WA
ZIP: 98119
FORMER COMPANY:
FORMER CONFORMED NAME: IMPEL NEUROPHARMA INC
DATE OF NAME CHANGE: 20080917
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-06-16
0
0001445499
IMPEL PHARMACEUTICALS INC
IMPL
0001374988
Wilfong Diane E.
C/O IMPEL PHARMACEUTICALS INC.
201 ELLIOTT AVE. W, ST. 260
SEATTLE
WA
98119
1
0
0
0
Stock Option (right to buy)
8.65
2022-06-16
4
A
0
12789
0.00
A
2032-06-15
Common Stock
12789
12789
D
The option is 100% vested on June 16, 2023.
/s/ John Leaman, M.D. as attorney-in-fact
2022-06-17