0001562180-21-005501.txt : 20210820 0001562180-21-005501.hdr.sgml : 20210820 20210820182454 ACCESSION NUMBER: 0001562180-21-005501 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210818 FILED AS OF DATE: 20210820 DATE AS OF CHANGE: 20210820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hill, Mitch C. CENTRAL INDEX KEY: 0001644989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 211194877 MAIL ADDRESS: STREET 1: 1009 TENNYSON DRIVE CITY: SOUTHLAKE STATE: TX ZIP: 76902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inari Medical, Inc. CENTRAL INDEX KEY: 0001531048 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 452902923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9 PARKER, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-923-4747 MAIL ADDRESS: STREET 1: 9 PARKER, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: Inceptus Newco1 Inc. DATE OF NAME CHANGE: 20110923 4 1 primarydocument.xml PRIMARY DOCUMENT X0306 4 2021-08-18 false 0001531048 Inari Medical, Inc. NARI 0001644989 Hill, Mitch C. C/O INARI MEDICAL, INC. 9 PARKER, SUITE 100 IRVINE CA 92618 false true false false Chief Financial Officer Common Stock 2021-08-18 4 M false 20000.00 0.457 A 87946.00 D Common Stock 1600.00 I By spouse Stock Options (Right to buy) 0.457 2021-08-18 4 M false 20000.00 0.00 D 2029-04-23 Common Stock 20000.00 266977.00 D Options vested with respected with 25% of the underlying shares on April 30,2020 and vest with respect to the remaining shares in 36 equal monthly installment there after. /s/ Angela Ahmad, attorney-in-fact for Mitch C. Hill 2021-08-20