0001305773-21-000042.txt : 20210511 0001305773-21-000042.hdr.sgml : 20210511 20210511084028 ACCESSION NUMBER: 0001305773-21-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210510 FILED AS OF DATE: 20210511 DATE AS OF CHANGE: 20210511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FALLON KENNETH P III CENTRAL INDEX KEY: 0001012087 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37474 FILM NUMBER: 21909772 MAIL ADDRESS: STREET 1: 5473 FOX HOLLOW DRIVE CITY: NAPLES STATE: FL ZIP: 34101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Conformis Inc CENTRAL INDEX KEY: 0001305773 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 600 TECHNOLOGY DRIVE CITY: BILLERICA STATE: MA ZIP: 01821 BUSINESS PHONE: (781) 345-9001 MAIL ADDRESS: STREET 1: 600 TECHNOLOGY DRIVE CITY: BILLERICA STATE: MA ZIP: 01821 FORMER COMPANY: FORMER CONFORMED NAME: ConforMIS Inc DATE OF NAME CHANGE: 20041013 4 1 wf-form4_162073681591580.xml FORM 4 X0306 4 2021-05-10 0 0001305773 Conformis Inc CFMS 0001012087 FALLON KENNETH P III C/O CONFORMIS, INC. 600 TECHNOLOGY PARK DRIVE BILLERICA MA 01821 1 0 0 0 Common Stock 2021-05-10 4 P 0 20000 0.9247 A 254902 D /s/ J. Brent Alldredge, Attorney-in-Fact for Kenneth P. Fallon, III 2021-05-11