0000950103-21-010319.txt : 20210709
0000950103-21-010319.hdr.sgml : 20210709
20210709214309
ACCESSION NUMBER: 0000950103-21-010319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210628
FILED AS OF DATE: 20210709
DATE AS OF CHANGE: 20210709
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LARKIN C RAYMOND JR
CENTRAL INDEX KEY: 0001034464
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38829
FILM NUMBER: 211084118
MAIL ADDRESS:
STREET 1: C/O MALLINCKRODT INC
STREET 2: 7733 FORSYTH BLVD
CITY: ST LOUIS
STATE: MO
ZIP: 63105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Shockwave Medical, Inc.
CENTRAL INDEX KEY: 0001642545
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 270494101
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: (510) 279-4262
MAIL ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
FORMER COMPANY:
FORMER CONFORMED NAME: ShockWave Medical, Inc.
DATE OF NAME CHANGE: 20150515
4
1
dp154200_4-larkin.xml
FORM 4
X0306
4
2021-06-28
0
0001642545
Shockwave Medical, Inc.
SWAV
0001034464
LARKIN C RAYMOND JR
C/O SHOCKWAVE MEDICAL, INC.
5403 BETSY ROSS DRIVE
SANTA CLARA
CA
95054
1
0
0
0
Common Stock
2021-06-28
4
A
0
850
0
A
3551
D
Reflects shares issuable on settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. The shares subject to the restricted stock units vest on 6/25/2022, subject to the Reporting Person's continued service through such date.
/s/ Trinh Phung, as attorney-in-fact for C. Raymond Larkin, Jr.
2021-07-09