0001209191-15-081511.txt : 20151120 0001209191-15-081511.hdr.sgml : 20151120 20151120160645 ACCESSION NUMBER: 0001209191-15-081511 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151118 FILED AS OF DATE: 20151120 DATE AS OF CHANGE: 20151120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inogen Inc CENTRAL INDEX KEY: 0001294133 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 BUSINESS PHONE: 805-562-0500 MAIL ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREER R SCOTT CENTRAL INDEX KEY: 0001211703 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 151246757 MAIL ADDRESS: STREET 1: 26 WHITE PINE CANYON RD CITY: PARK CITY STATE: UT ZIP: 84060 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-11-18 0 0001294133 Inogen Inc INGN 0001211703 GREER R SCOTT C/O INOGEN, INC. 326 BOLLAY DRIVE GOLETA CA 93117 1 0 0 0 Common Stock 2015-11-18 4 X 0 15218 0.30 A 15218 I See Footnote Common Stock 14485 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 1188 0.00 D 2007-06-15 2017-06-15 Common Stock 1188 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 9280 0.00 D 2007-10-05 2017-10-05 Common Stock 9280 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 1783 0.00 D 2007-05-29 2017-05-29 Common Stock 1783 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 688 0.00 D 2017-04-20 2017-04-20 Common Stock 688 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 496 0.00 D 2007-07-17 2017-07-17 Common Stock 496 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 1517 0.00 D 2007-04-20 2017-04-20 Common Stock 1517 0 I See Footnote Warrant to Purchase Common Stock (Right to Buy) 0.30 2015-11-18 4 X 0 266 0.00 D 2007-04-20 2017-04-20 Common Stock 266 0 I See Footnote Shares held directly by Numenor Ventures, L.L.C. The reporting person and his wife are the managing members of Numenor Ventures, L.L.C. Shares held directly by the R. Scott Greer and Michelle Greer Revocable Trust, a trust for the benefit of the Reporting Person and the Reporting Person's spouse, for which the Reporting Person and the Reporting Pearson's spouse serve as trustees. This warrant is held by Numenor Ventures, L.L.C. The reporting person and his wife are the managing members of Numenor Ventures, L.L.C. /s/ Alison Bauerlein, as Attorney-in-Fact 2015-11-20