0001179110-17-007559.txt : 20170518
0001179110-17-007559.hdr.sgml : 20170518
20170518204819
ACCESSION NUMBER: 0001179110-17-007559
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170516
FILED AS OF DATE: 20170518
DATE AS OF CHANGE: 20170518
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Endosurgery, Inc.
CENTRAL INDEX KEY: 0001251769
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 161630142
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
BUSINESS PHONE: 512-279-5100
MAIL ADDRESS:
STREET 1: 1120 SOUTH CAPITAL OF TX HWY
STREET 2: BUILDING 1 SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH, INC
DATE OF NAME CHANGE: 20060316
FORMER COMPANY:
FORMER CONFORMED NAME: LPATH INC
DATE OF NAME CHANGE: 20051202
FORMER COMPANY:
FORMER CONFORMED NAME: NEIGHBORHOOD CONNECTIONS INC
DATE OF NAME CHANGE: 20040323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McClellan William D. Jr.
CENTRAL INDEX KEY: 0001689402
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35706
FILM NUMBER: 17856259
MAIL ADDRESS:
STREET 1: C/O APOLLO ENDOSURGERY, INC., 1120 S.
STREET 2: CAPITAL OF TEXAS HWY, BLDG. 1, SUITE 300
CITY: AUSTIN
STATE: TX
ZIP: 78746
4
1
edgar.xml
FORM 4 -
X0306
4
2017-05-16
0
0001251769
Apollo Endosurgery, Inc.
APEN
0001689402
McClellan William D. Jr.
274 BUCK BEND
GEORGETOWN
TX
78628
1
0
0
0
Common Stock
2017-05-16
4
P
0
300
6.19
A
300
I
William D McClellan & Jan McClellan CO-TTEE McClellan Living Trust U/A
Common Stock
2017-05-17
4
P
0
500
6.18
A
800
I
William D McClellan & Jan McClellan CO-TTEE McClellan Living Trust U/A
Common Stock
2017-05-17
4
P
0
1200
6.42
A
2000
I
William D McClellan & Jan McClellan CO-TTEE McClellan Living Trust U/A
Exhibit Index: Exhibit 24 - Power of Attorney (incorporated by reference to the Power of Attorney filed as Exhibit 24 to the Form 3 filed by the Reporting Person on December 29, 2016)
/s/ Brian Szymczak - Attorney-in-Fact
2017-05-18