0001251769-19-000047.txt : 20190510
0001251769-19-000047.hdr.sgml : 20190510
20190510160845
ACCESSION NUMBER: 0001251769-19-000047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190507
FILED AS OF DATE: 20190510
DATE AS OF CHANGE: 20190510
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gostout Christopher J.
CENTRAL INDEX KEY: 0001694007
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35706
FILM NUMBER: 19814952
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
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apollo Endosurgery, Inc.
CENTRAL INDEX KEY: 0001251769
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
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
4
1
wf-form4_155751890919660.xml
FORM 4
X0306
4
2019-05-07
0
0001251769
Apollo Endosurgery, Inc.
APEN
0001694007
Gostout Christopher J.
1120 SOUTH CAPITAL OF TEXAS HIGHWAY
BUILDING ONE, STE 300
AUSTIN
TX
78746
0
1
0
0
Chief Medical Officer
Common Stock
2019-05-07
4
A
0
16335
0
A
32766
D
Stock Option (Right to Buy)
3.49
2019-05-07
4
A
0
25442
3.49
A
2020-05-07
2029-05-07
Common Stock
25442.0
177942
D
Represents grant of restricted stock units payable solely in common stock that vest in annual installments over four years from the grant date.
The shares underlying the option shall vest as to 25% on the first anniversary of the grant date and the remainder will vest in equal month installments over the following three years.
/s/ Brian Szymczak - Attorney-in-Fact
2019-05-08