0001013606-19-000194.txt : 20191217 0001013606-19-000194.hdr.sgml : 20191217 20191217141726 ACCESSION NUMBER: 0001013606-19-000194 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191213 FILED AS OF DATE: 20191217 DATE AS OF CHANGE: 20191217 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: 191289288 MAIL ADDRESS: STREET 1: 2 MUSICK CITY: IRVINE STATE: CA ZIP: 92618 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: 9495984741 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 4 1 wf-form4_157661022809711.xml FORM 4 X0306 4 2019-12-13 0 0001013606 ENDOLOGIX INC /DE/ ELGX 0001655157 Mahboob Vaseem 2 MUSICK IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Stock 2019-12-13 4 A 0 47010 0 A 121719 D Common Stock 2019-12-13 4 F 0 2986 2.545 D 118733 D This award was originally reported on a Form 4 filed with the Securities and Exchange Commission on January 2, 2019. 33% percent of the 28,863 shares subject to this restricted stock award vested pursuant to the terms of this award. Shares withheld on December 13, 2019 to satisfy statutory minimum tax withholding obligations related to shares vested on December 04, 2019. Vaseem Mahboob by Timothy N. Brady Attorney-in-Fact for Reporting Person 2019-12-13