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