0001567619-21-000325.txt : 20210105 0001567619-21-000325.hdr.sgml : 20210105 20210105172553 ACCESSION NUMBER: 0001567619-21-000325 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEMANE MICHAEL F CENTRAL INDEX KEY: 0001174533 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36715 FILM NUMBER: 21507262 MAIL ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NEVRO CORP CENTRAL INDEX KEY: 0001444380 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 562568057 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-251-0005 MAIL ADDRESS: STREET 1: 1800 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 4 1 doc1.xml FORM 4 X0306 4 2020-12-31 0 0001444380 NEVRO CORP NVRO 0001174533 DEMANE MICHAEL F C/O NEVRO CORP. 1800 BRIDGE PARKWAY REDWOOD CITY CA 94065 1 0 0 0 Common Stock 2020-12-31 4 A 0 160 0.00 A 236367 D Common Stock 38054 I See footnote Common Stock 21800 I See footnote Common Stock 30218 I See footnote Common Stock 47982 I See footnote Fully vested restricted stock. The restricted stock represent quarterly retainer fees that the Reporting Person elected to receive in the form of shares of common stock in lieu of cash. Includes 1,376 restricted stock units. Shares held by Catherine Q. DeMane Trustee, Michael F. DeMane 2012 Irrevocable Trust U/A/D July 26, 2012. Shares held by Michael DeMane Trustee, Michael F. DeMane 2016 Retailed Annuity Trust U/A/D May 22, 2017. Shares held by Michael F. DeMane, Trustee, Michael F. DeMane 2018 Retained Annuity Trust 07/16/2018. Shares held by Michael F. DeMane & Catherine Q. DeMane, Trustees Michael F. DeMane Revocable Trust 10/07/2011. /s/ Kashif Rashid, as Attorney-in-Fact for Michael DeMane 2021-01-05