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