0001104659-23-096951.txt : 20230830 0001104659-23-096951.hdr.sgml : 20230830 20230830194028 ACCESSION NUMBER: 0001104659-23-096951 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230828 FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jandrich Steven CENTRAL INDEX KEY: 0001737203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 231226515 MAIL ADDRESS: STREET 1: C/O INSPIRE MEDICAL SYSTEMS, INC. STREET 2: 9700 63RD AVENUE NORTH, SUITE 200 CITY: MAPLE GROVE STATE: MN ZIP: 55369 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inspire Medical Systems, Inc. CENTRAL INDEX KEY: 0001609550 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 261377674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 1600 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 BUSINESS PHONE: 763-957-5037 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 1600 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 4 1 tm2324852-3_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2023-08-28 0 0001609550 Inspire Medical Systems, Inc. INSP 0001737203 Jandrich Steven C/O INSPIRE MEDICAL SYSTEMS, INC. 5500 WAYZATA BLVD., SUITE 1600 GOLDEN VALLEY MN 55416 0 1 0 0 VP, Human Resources 1 Common Stock 2023-08-28 4 M 0 2500 0.94 A 6871 D Common Stock 478 I By daughter Common Stock 478 I By son Employee Stock Option (Right to Buy) 0.94 2023-08-28 4 M 0 2500 0.00 D 2027-09-25 Common Stock 2500 19325 D The option is fully vested and exercisable. /s/ Bryan Phillips, as Attorney-in-Fact for Steven Jandrich 2023-08-30