0001209191-17-040494.txt : 20170616 0001209191-17-040494.hdr.sgml : 20170616 20170616161628 ACCESSION NUMBER: 0001209191-17-040494 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170614 FILED AS OF DATE: 20170616 DATE AS OF CHANGE: 20170616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMPINJ INC CENTRAL INDEX KEY: 0001114995 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 912041398 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-517-5300 MAIL ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WISE THERESA CENTRAL INDEX KEY: 0001677728 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37824 FILM NUMBER: 17916333 MAIL ADDRESS: STREET 1: 400 FAIRVIEW AVENUE NORTH STREET 2: SUITE 1200 CITY: SEATTLE STATE: WA ZIP: 98109 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-14 0 0001114995 IMPINJ INC PI 0001677728 WISE THERESA 400 FAIRVIEW AVENUE NORTH SUITE 1200 SEATTLE WA 98109 1 0 0 0 Restricted Stock Units 2017-06-14 4 A 0 2023 0.00 A Common Stock 2023 2023 D Each restricted stock unit represents a contingent right to receive one share of Impinj common stock. The restricted stock units will fully vest on June 14, 2018. Yukio Morikubo as Attorney in fact for Theresa Wise 2017-06-16