0000950103-22-010953.txt : 20220621
0000950103-22-010953.hdr.sgml : 20220621
20220621174145
ACCESSION NUMBER: 0000950103-22-010953
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220621
DATE AS OF CHANGE: 20220621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pellegrini Niamh Louise
CENTRAL INDEX KEY: 0001620611
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39430
FILM NUMBER: 221029215
MAIL ADDRESS:
STREET 1: C/O NEVRO CORP.
STREET 2: 1800 BRIDGE PARKWAY
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
FORMER NAME:
FORMER CONFORMED NAME: Pellegrini Niamh
DATE OF NAME CHANGE: 20140925
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
dp175621_4-pellegrini.xml
FORM 4
X0306
4
2022-06-16
0
0001522860
Acutus Medical, Inc.
AFIB
0001620611
Pellegrini Niamh Louise
C/O ACUTUS MEDICAL, INC.
2210 FARADAY AVE., SUITE 100
CARLSBAD
CA
92008
1
0
0
0
Common Stock
2022-06-16
4
A
0
8400
0
A
12572
D
Stock Options (Right to Buy)
0.5036
2022-06-16
4
A
0
19600
0
A
2032-06-16
Common Stock
19600
19600
D
Each annual restricted stock unit ("Annual RSU") will be scheduled to vest as to all of the shares of Common Stock ("Shares") subject to such Annual RSU on the first anniversary of the date of grant of such Annual RSU, if on such date the Reporting Person has remained in continuous service as a director.
Each annual stock option (the "Annual Option") will be scheduled to vest and become exercisable as to all of the Shares subject to such Annual Option on the first anniversary of the date of grant of such Annual Option, if on such date the Reporting Person has remained in continuous service as a director.
/s/ Tom Sohn as attorney-in-fact for Niamh Pellegrini
2022-06-21