0001013606-15-000136.txt : 20151016 0001013606-15-000136.hdr.sgml : 20151016 20151016134628 ACCESSION NUMBER: 0001013606-15-000136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151015 FILED AS OF DATE: 20151016 DATE AS OF CHANGE: 20151016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ENDOLOGIX INC /DE/ CENTRAL INDEX KEY: 0001013606 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 680328265 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 9495957200 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: RADIANCE MEDICAL SYSTEMS INC /DE/ DATE OF NAME CHANGE: 19990122 FORMER COMPANY: FORMER CONFORMED NAME: CARDIOVASCULAR DYNAMICS INC DATE OF NAME CHANGE: 19960506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mahboob Vaseem CENTRAL INDEX KEY: 0001655157 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 151161754 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 4 1 wf-form4_144501757826871.xml FORM 4 X0306 4 2015-10-15 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001655157 Mahboob Vaseem 2 MUSICK IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Shares 2015-10-15 4 A 0 55310 0 A 55310 D Option to Purchase 13.56 2015-10-15 4 A 0 137024 13.56 A 2016-10-15 2025-10-15 Common Shares 137024.0 137024 D Vaseem Mahboob by Timothy N. Brady Attorney-in-Fact for Reporting Person 2015-10-16