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