0001642545-24-000042.txt : 20240209 0001642545-24-000042.hdr.sgml : 20240209 20240209200736 ACCESSION NUMBER: 0001642545-24-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240208 FILED AS OF DATE: 20240209 DATE AS OF CHANGE: 20240209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOLL FREDERIC H CENTRAL INDEX KEY: 0001260157 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38829 FILM NUMBER: 24617039 MAIL ADDRESS: STREET 1: C/O INTUITIVE SURGICAL INC STREET 2: 950 KIFER ROAD CITY: SUNNYVALE STATE: CA ZIP: 94086 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Shockwave Medical, Inc. CENTRAL INDEX KEY: 0001642545 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 270494101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5403 BETSY ROSS DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: (510) 279-4262 MAIL ADDRESS: STREET 1: 5403 BETSY ROSS DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 FORMER COMPANY: FORMER CONFORMED NAME: ShockWave Medical, Inc. DATE OF NAME CHANGE: 20150515 4 1 wk-form4_1707527245.xml FORM 4 X0508 4 2024-02-08 0 0001642545 Shockwave Medical, Inc. SWAV 0001260157 MOLL FREDERIC H C/O SHOCKWAVE MEDICAL, INC. 5403 BETSY ROSS DRIVE SANTA CLARA CA 95054 1 0 0 0 0 Common Stock 2024-02-08 4 M 0 81967 0.61 A 347521 D Stock Option 0.61 2024-02-08 4 M 0 81967 0 D 2024-02-24 Common Stock 81967 0 D The total reported in Column 5 of Table I includes 33,960 shares of the issuer's common stock previously held by MBL-2 Holdings LLC (the "LLC"), which were previously distributed, for no consideration, to the reporting person's direct ownership in a transaction exempt from reporting pursuant to Rule 16a-13. The reporting person is the sole managing member of the LLC. Fully vested. /s/ Wade Estey, as attorney-in-fact for Frederic H. Moll 2024-02-09