0001494650-21-000111.txt : 20210917
0001494650-21-000111.hdr.sgml : 20210917
20210917135708
ACCESSION NUMBER: 0001494650-21-000111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210915
FILED AS OF DATE: 20210917
DATE AS OF CHANGE: 20210917
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mahmoud Ramy A
CENTRAL INDEX KEY: 0001718725
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38241
FILM NUMBER: 211259911
MAIL ADDRESS:
STREET 1: 1020 STONY HILL ROAD, SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OptiNose, Inc.
CENTRAL INDEX KEY: 0001494650
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 421771610
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1020 STONY HILL ROAD
STREET 2: SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
BUSINESS PHONE: 267-364-3500
MAIL ADDRESS:
STREET 1: 1020 STONY HILL ROAD
STREET 2: SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
4
1
wf-form4_163190141213807.xml
FORM 4
X0306
4
2021-09-15
0
0001494650
OptiNose, Inc.
OPTN
0001718725
Mahmoud Ramy A
C/O OPTINOSE, INC.
1020 STONY HILL ROAD, SUITE 300
YARDLEY
PA
19067
0
1
0
0
President and COO
Common Stock
2021-09-15
4
M
0
39754
A
294264
D
Common Stock
2021-09-16
4
S
0
11588
2.789
D
282676
D
Common Stock
2021-09-16
4
S
0
911
2.789
D
281765
D
Common Stock
35726
I
By: The Ramy Mahmoud 2014 Trust for Cynthia Mahmoud
Restricted Stock Units
2021-09-15
4
M
0
39754
0
D
Common Stock
39754.0
39753
D
Represents the vesting of a restricted stock units (RSUs) granted on September 15, 2020. 50% of the RSUs subject to this award shall vest on September 15, 2021 and the balance shall vest on September 15, 2022, subject to the reporting person's continuous service through such vesting date.
Represents the number of shares required to be sold by the reporting person to cover tax withholding obligations in connection with the vesting of restricted share units granted on September 15, 2020. This sale is mandated by the issuer's award agreement under its equity incentive plans to require the satisfaction of tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary trade by the reporting person.
Represents the number of shares required to be sold by the reporting person to cover tax withholding obligations in connection with the vesting of restricted share units granted on March 6, 2020. This sale is mandated by the issuer's award agreement under its equity incentive plans to require the satisfaction of tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary trade by the reporting person.
RSUs convert into common stock on a one-for-one basis.
/s/ Michele Janis, Attorney-in-Fact
2021-09-17