0001104659-23-103610.txt : 20230925
0001104659-23-103610.hdr.sgml : 20230925
20230925183051
ACCESSION NUMBER: 0001104659-23-103610
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230921
FILED AS OF DATE: 20230925
DATE AS OF CHANGE: 20230925
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: 231276862
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: 5500 WAYZATA BLVD
STREET 2: SUITE 1600
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
BUSINESS PHONE: 763-957-5037
MAIL ADDRESS:
STREET 1: 5500 WAYZATA BLVD
STREET 2: SUITE 1600
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
4
1
tm2326878-1_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-09-21
0
0001609550
Inspire Medical Systems, Inc.
INSP
0001199894
NELSON MARILYN C
C/O INSPIRE MEDICAL SYSTEMS, INC.
5500 WAYZATA BLVD., SUITE 1600
GOLDEN VALLEY
MN
55416
1
0
0
0
0
Common Stock
2023-09-21
4
M
0
2000
0.94
A
18959
D
Common Stock
50919
I
See Footnote
Stock Option (Right to Buy)
0.94
2023-09-21
4
M
0
2000
0
D
2027-01-01
Common Stock
2000
1037
D
Shares held by GDN Holdings, LLC, of which the Reporting Person is the managing member.
The option is fully vested and exercisable.
/s/ Bryan Phillips, Attorney-in-Fact for Marilyn Carlson Nelson
2023-09-25