0001209191-21-040068.txt : 20210611
0001209191-21-040068.hdr.sgml : 20210611
20210611201422
ACCESSION NUMBER: 0001209191-21-040068
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210611
DATE AS OF CHANGE: 20210611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Florin Daniel P
CENTRAL INDEX KEY: 0001402459
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39562
FILM NUMBER: 211012909
MAIL ADDRESS:
STREET 1: 56 E. BELL DRIVE
CITY: WARSAW
STATE: IN
ZIP: 46581
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pulmonx Corp
CENTRAL INDEX KEY: 0001127537
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 700 CHESAPEAKE DRIVE
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 650-364-0400
MAIL ADDRESS:
STREET 1: 700 CHESAPEAKE DRIVE
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
FORMER COMPANY:
FORMER CONFORMED NAME: PULMONX
DATE OF NAME CHANGE: 20001031
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-01
0
0001127537
Pulmonx Corp
LUNG
0001402459
Florin Daniel P
C/O PULMONX CORPORATION
700 CHESAPEAKE DRIVE
REDWOOD CITY
CA
94063
1
0
0
0
Common Stock
2021-06-01
4
A
0
2810
0.00
A
2810
D
Common Stock
15789
I
See Footnote
Represents grant of Restricted Stock Units payable solely in common stock of the Issuer that will vest on the one-year anniversary of the date of grant of June 1, 2021.
The shares are directly held by Kelly A Florin Trust, for which the Reporting Person is a trustee.
/s/ Lauren Cristina, Attorney-in-Fact for Daniel Philip Florin
2021-06-11