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