0001140361-18-031727.txt : 20180706
0001140361-18-031727.hdr.sgml : 20180706
20180706104037
ACCESSION NUMBER: 0001140361-18-031727
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180703
FILED AS OF DATE: 20180706
DATE AS OF CHANGE: 20180706
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ERB JOHN L
CENTRAL INDEX KEY: 0001213867
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 18941935
MAIL ADDRESS:
STREET 1: C/O VASCULAR SOLUTIONS, INC.
STREET 2: 6464 SYCAMORE COURT N.
CITY: MINNEAPOLIS,
STATE: MN
ZIP: 55369
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
form4.xml
FORM 4
X0306
4
2018-07-03
0001506492
CHF Solutions, Inc.
CHFS
0001213867
ERB JOHN L
12988 VALLEY VIEW ROAD
EDEN PRAIRIE,
MN
55344
true
true
CEO and President
Common Stock
2018-07-03
4
P
0
23584
2.12
A
29355
D
The reporting person purchased shares of common stock in an underwritten public offering by the issuer. The offering closed on July 3, 2018.
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/ Gayle C. Aiken, by Power of Attorney
2018-07-06