0001104659-18-061741.txt : 20181012
0001104659-18-061741.hdr.sgml : 20181012
20181012114901
ACCESSION NUMBER: 0001104659-18-061741
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181010
FILED AS OF DATE: 20181012
DATE AS OF CHANGE: 20181012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NELSON MARILYN C
CENTRAL INDEX KEY: 0001199894
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38468
FILM NUMBER: 181119674
MAIL ADDRESS:
STREET 1: C/O EXXON MOBIL CORP
STREET 2: 5959 LAS COLINAS BLVD.
CITY: IRVING
STATE: TX
ZIP: 75039-2298
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Inspire Medical Systems, Inc.
CENTRAL INDEX KEY: 0001609550
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 261377674
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9700 63RD AVENUE N
STREET 2: SUITE 200
CITY: MAPLE GROVE
STATE: X1
ZIP: 55369
BUSINESS PHONE: 763-205-7970
MAIL ADDRESS:
STREET 1: 9700 63RD AVENUE N
STREET 2: SUITE 200
CITY: MAPLE GROVE
STATE: X1
ZIP: 55369
4
1
a4.xml
4
X0306
4
2018-10-10
0
0001609550
Inspire Medical Systems, Inc.
INSP
0001199894
NELSON MARILYN C
C/O INSPIRE MEDICAL SYSTEMS, INC.
9700 63RD AVENUE NORTH, SUITE 200
MAPLE GROVE
MN
55369
1
0
0
0
Common Stock
2018-10-10
4
A
0
492
40.60
A
774
D
Common Stock
631451
I
See Footnote
Represents shares of vested, restricted common stock received in lieu of cash fees pursuant to the Issuer's Non-Employee Director Compensation Policy, which shares are subject to the Reporting Person's lock-up agreement entered into in connection with the Registrant's initial public offering.
Shares held by GDN Holdings, LLC, of which the Reporting Person is the managing member.
/s/ Richard Buchholz, Attorney-in-Fact
2018-10-12