0001013606-16-000333.txt : 20161215 0001013606-16-000333.hdr.sgml : 20161215 20161215165255 ACCESSION NUMBER: 0001013606-16-000333 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161213 FILED AS OF DATE: 20161215 DATE AS OF CHANGE: 20161215 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: 162054238 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 4 1 wf-form4_148183876343555.xml FORM 4 X0306 4 2016-12-13 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001655157 Mahboob Vaseem 2 MUSICK IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Shares 2016-12-13 4 P 0 20000 6.25 A 108511 D Vaseem Mahboob by Timothy N. Brady Attorney-in-Fact for Reporting Person 2016-12-15