0001596771-18-000088.txt : 20180813 0001596771-18-000088.hdr.sgml : 20180813 20180813161429 ACCESSION NUMBER: 0001596771-18-000088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180810 FILED AS OF DATE: 20180813 DATE AS OF CHANGE: 20180813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLER GREGORY D CENTRAL INDEX KEY: 0001204144 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35312 FILM NUMBER: 181012400 MAIL ADDRESS: STREET 1: 1717 W COLLINS AVENUE CITY: ORANGE STATE: CA ZIP: 92867 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHF Solutions, Inc. CENTRAL INDEX KEY: 0001506492 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 680533453 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 952-345-4200 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 FORMER COMPANY: FORMER CONFORMED NAME: Sunshine Heart, Inc. DATE OF NAME CHANGE: 20101124 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-08-10 0 0001506492 CHF Solutions, Inc. CHFS 0001204144 WALLER GREGORY D 12988 VALLEY VIEW ROAD EDEN PRAIRIE MN 55344 1 0 0 0 Common Stock 2018-08-10 4 S 0 72 1.0338 D 2 D On January 12, 2017, the Issuer effected a 1-for-30 reverse stock split of the issued and outstanding shares of its common stock; upon effectiveness of the reverse stock split, every 30 shares of common stock was automatically converted into one share of common stock. On October 12, 2017, the Issuer effected a 1-for-20 reverse stock split of the issued and outstanding shares of its common stock; upon effectiveness of the reverse stock split, every 20 shares of common stock was automatically converted into one share of common stock. /s/ Phillip D. Torrence, by Power of Attorney 2018-08-13