0001582015-21-000005.txt : 20210624
0001582015-21-000005.hdr.sgml : 20210624
20210624160841
ACCESSION NUMBER: 0001582015-21-000005
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210622
FILED AS OF DATE: 20210624
DATE AS OF CHANGE: 20210624
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AYOTTE NEIL P
CENTRAL INDEX KEY: 0001582015
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 211042923
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Nuwellis, Inc.
CENTRAL INDEX KEY: 0001506492
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
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/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4/A
2021-06-22
2021-06-23
0
0001506492
Nuwellis, Inc.
NUWE
0001582015
AYOTTE NEIL P
12988 VALLEY VIEW ROAD
EDEN PRAIRIE
MN
55344
0
1
0
0
SVP, Secretary, GC & CCO
Non-Qualified Stock Option (right to buy)
3.98
2021-06-22
4
A
0
41690
0
A
2031-06-21
Common Stock
41690
41690
D
This amendment is being filed to correct the title of the option, which is a non-qualified stock option rather than an incentive stock option as originally reported.
The options will vest as follows: 25% of the options will vest on the one-year anniversary of the date of grant; the remaining options will vest in 36 equal consecutive monthly increments thereafter, so all will be vested on the four-year anniversary of the date of grant.
/s/ Neil P. Ayotte
2021-06-24