0001500842-24-000001.txt : 20240104 0001500842-24-000001.hdr.sgml : 20240104 20240104161608 ACCESSION NUMBER: 0001500842-24-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Feldshon Archelle Georgiou CENTRAL INDEX KEY: 0001500842 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35312 FILM NUMBER: 24512113 MAIL ADDRESS: STREET 1: 1420 SHORELINE DRIVE CITY: WAYZATA STATE: MN ZIP: 55391 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Nuwellis, Inc. CENTRAL INDEX KEY: 0001506492 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 680533453 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 952-345-4200 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 FORMER COMPANY: FORMER CONFORMED NAME: CHF Solutions, Inc. DATE OF NAME CHANGE: 20170523 FORMER COMPANY: FORMER CONFORMED NAME: Sunshine Heart, Inc. DATE OF NAME CHANGE: 20101124 4 1 primary_doc.xml PRIMARY DOCUMENT X0508 4 2024-01-02 0 0001506492 Nuwellis, Inc. NUWE 0001500842 Feldshon Archelle Georgiou 12988 VALLEY VIEW ROAD EDEN PRAIRIE MN 55344 1 0 0 0 0 Nonstatutory Stock Option (right to buy) 0.69 2024-01-02 4 A 0 11365 0 A 2034-01-01 Common Stock 11365 11365 D Vests in 12 approximately equal consecutive monthly increments, commencing on the one-month anniversary of the date that she was appointed to the Board of Directors (11/01/2023), so that all of the options will be vested on the one-year anniversary of the date that she was appointed to the Board of Directors. Jessica M. Herron, by Power of Attorney 2024-01-04