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