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