0001013606-16-000212.txt : 20160302
0001013606-16-000212.hdr.sgml : 20160302
20160302123645
ACCESSION NUMBER: 0001013606-16-000212
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160229
FILED AS OF DATE: 20160302
DATE AS OF CHANGE: 20160302
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: Chavez Christopher G.
CENTRAL INDEX KEY: 0001192858
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28440
FILM NUMBER: 161476269
MAIL ADDRESS:
STREET 1: 3910 BRICKWAY BLVD.
CITY: SANTA ROSA
STATE: CA
ZIP: 95403
FORMER NAME:
FORMER CONFORMED NAME: CHAVEZ CHRISTOPHER G
DATE OF NAME CHANGE: 20020925
4
1
wf-form4_145694018980571.xml
FORM 4
X0306
4
2016-02-29
0
0001013606
ENDOLOGIX INC /DE/
ELGX
0001192858
Chavez Christopher G.
PO BOX 670884
DALLAS
TX
75367
1
0
0
0
Common Shares
2016-02-29
4
J
0
285280
0
A
312234
D
Common Shares
2016-02-29
4
J
0
65640
0
A
65640
I
Christopher G. Chavez Trustee of the Diana J Chavez Irrevocable Trust
Common Shares
2016-02-29
4
J
0
65640
0
A
65640
I
Diana J Chavez of the Trustee of the Christopher G. Chavez Family Irrevocable Trust
Shares issued relate to the exchange of TriVascular, Inc shares for Endologix, Inc shares per Endologix, Inc's agreement to acquire TriVascular, Inc.
Christopher G. Chavez by Timothy N. Brady, Attorney-in-Fact for Reporting Person
2016-03-02