0001013606-16-000221.txt : 20160425 0001013606-16-000221.hdr.sgml : 20160425 20160425142311 ACCESSION NUMBER: 0001013606-16-000221 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160229 FILED AS OF DATE: 20160425 DATE AS OF CHANGE: 20160425 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-28440 FILM NUMBER: 161588647 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/A 1 wf-form4a_146160857751350.xml FORM 4/A X0306 4/A 2016-02-29 2016-03-02 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001192858 Chavez Christopher G. PO BOX 670884 DALLAS TX 75367 1 0 0 0 Common Shares 2016-04-25 4 J 0 328586 0 A 355540 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. This Form 4/A is being filed to report an additional 43,306 shares of ELGX shares owned by the reporting person as of February 29th, 2016, the date of the original Form 4. The additional shares reported herein were omitted do to administrative error. Christopher G. Chavez by Timothy N. Brady, Attorney-in-Fact for Reporting Person 2016-04-25