0000950103-22-006020.txt : 20220405
0000950103-22-006020.hdr.sgml : 20220405
20220405160227
ACCESSION NUMBER: 0000950103-22-006020
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220401
FILED AS OF DATE: 20220405
DATE AS OF CHANGE: 20220405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roman David
CENTRAL INDEX KEY: 0001843669
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39430
FILM NUMBER: 22806702
MAIL ADDRESS:
STREET 1: ACUTUS MEDICAL, INC.
STREET 2: 2210 FARADAY AVE, SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Acutus Medical, Inc.
CENTRAL INDEX KEY: 0001522860
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 451306615
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2210 FARADAY AVE
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 442-232-6080
MAIL ADDRESS:
STREET 1: 2210 FARADAY AVE
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
4
1
dp170689_4-roman.xml
FORM 4
X0306
4
2022-04-01
0
0001522860
Acutus Medical, Inc.
AFIB
0001843669
Roman David
C/O ACUTUS MEDICAL, INC.
2210 FARADAY AVE., SUITE 100
CARLSBAD
CA
92008
0
1
0
0
Chief Financial Officer
Common Stock
2022-04-01
4
F
0
3248
1.30
D
83355
D
Represents shares that have been withheld by the issuer to satisfy income tax withholding and remittance obligations in connection with the vesting of (and related delivery of shares underlying) restricted stock units reported on a Form 4 filed on April 2, 2021.
/s/ Tom Sohn as attorney-in-fact for David Roman
2022-04-05