0001209191-23-049186.txt : 20230912
0001209191-23-049186.hdr.sgml : 20230912
20230912202004
ACCESSION NUMBER: 0001209191-23-049186
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230908
FILED AS OF DATE: 20230912
DATE AS OF CHANGE: 20230912
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Papiernik Antoine
CENTRAL INDEX KEY: 0001768408
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38829
FILM NUMBER: 231251381
MAIL ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Shockwave Medical, Inc.
CENTRAL INDEX KEY: 0001642545
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 270494101
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: (510) 279-4262
MAIL ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
FORMER COMPANY:
FORMER CONFORMED NAME: ShockWave Medical, Inc.
DATE OF NAME CHANGE: 20150515
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-09-08
0
0001642545
Shockwave Medical, Inc.
SWAV
0001768408
Papiernik Antoine
C/O SHOCKWAVE MEDICAL, INC.
5403 BETSY ROSS DRIVE
SANTA CLARA
CA
95054
1
0
0
0
0
Common Stock
2023-09-08
4
J
0
21926
0.00
D
736
D
Common Stock
34177
I
By Sofinnova Capital VII FCPR
Represents a distribution of Common Stock of the Issuer by the reporting person without consideration to Sofinnova Capital VII FCPR ("Sofinnova VII") in accordance with the employment agreement between the reporting person and Sofinnova Partners SAS.
Represents shares directly held by Sofinnova VII and includes 21,926 shares received pursuant to the distribution reported hereinabove. The reporting person is one of the managing partners of Sofinnova Partners SAS, a French corporation and the management company of Sofinnova VII. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest.
/s/ Wade Estey, as attorney-in-fact for Antoine Papiernik
2023-09-12