0001209191-16-099283.txt : 20160217 0001209191-16-099283.hdr.sgml : 20160217 20160217164230 ACCESSION NUMBER: 0001209191-16-099283 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160216 FILED AS OF DATE: 20160217 DATE AS OF CHANGE: 20160217 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TANDEM DIABETES CARE INC CENTRAL INDEX KEY: 0001438133 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 204327508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11045 ROSELLE STREET STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 BUSINESS PHONE: 858-366-6900 MAIL ADDRESS: STREET 1: 11045 ROSELLE STREET STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLICKENSTAFF KIM D CENTRAL INDEX KEY: 0001238913 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36189 FILM NUMBER: 161433887 MAIL ADDRESS: STREET 1: C/O MEDIVATION, INC. STREET 2: 201 SPEAR STREET, 3RD FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-16 0 0001438133 TANDEM DIABETES CARE INC TNDM 0001238913 BLICKENSTAFF KIM D C/O TANDEM DIABETES CARE, INC., 11045 ROSELLE STREET SAN DIEGO CA 92121 1 1 0 0 PRESIDENT & CEO Stock Options 6.95 2016-02-16 4 A 0 236850 0.00 A Common Stock 236850 236850 D Granted pursuant to the Tandem Diabetes Care, Inc. 2013 Stock Incentive Plan. All shares subject to the option will vest as to 25% on 2/16/2017 and the remainder in 36 equal monthly installments thereafter. The expiration date for these options is 10 years from the date of grant. /s/ David B. Berger, Attorney-in-Fact for Kim D. Blickenstaff 2016-02-17