0001246360-18-002042.txt : 20180815
0001246360-18-002042.hdr.sgml : 20180815
20180815214922
ACCESSION NUMBER: 0001246360-18-002042
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180614
FILED AS OF DATE: 20180815
DATE AS OF CHANGE: 20180815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ALBERG TOM A
CENTRAL INDEX KEY: 0001184752
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37824
FILM NUMBER: 181022233
MAIL ADDRESS:
STREET 1: PO BOX 81226
CITY: SEATTLE
STATE: WA
ZIP: 98108-1226
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
4
1
form.xml
PRIMARY DOCUMENT
X0306
4
2018-06-14
false
0001114995
IMPINJ INC
PI
0001184752
ALBERG TOM A
400 FAIRVIEW AVE N. SUITE 1200
SEATTLE
WA
98109
true
false
false
false
COMMON STOCK
4817
I
By Alberg Family Investments LLC
COMMON STOCK
31219
I
By Raven Trust Fund
COMMON STOCK
2018-06-14
4
M
false
2023
0
A
112792
D
RESTRICTED STOCK UNITS - 2017
2018-06-14
4
M
false
2023
0
D
COMMON STOCK
2023
0
D
RESTRICTED STOCK UNITS - 2018
2018-08-13
4
A
false
4754
0
A
COMMON STOCK
4754
4754
D
Shares held of record by the Alberg Family Investments LLC. Mr. Alberg shares voting and dispositive control over such shares but disclaims beneficial ownership over such shares.
Shares held of record by Raven Trust Fund. Mr. Alberg shares voting and dispositive control over such shares but disclaims beneficial ownership over such shares.
Restricted stock units convert to common stock on a one-to-one basis.
Each restricted stock unit represents a contingent right to receive one share of Impinj common stock.
On June 14, 2017, the reporting person was granted 2023 restricted stock units ("RSUs"). These RSUs fully vested on June 14, 2018.
The restricted stock units will fully vest on August 13, 2019.
Yukio Morikubo as Attorney in fact for Tom Alberg
2018-08-15