0001209191-17-046837.txt : 20170731 0001209191-17-046837.hdr.sgml : 20170731 20170731205615 ACCESSION NUMBER: 0001209191-17-046837 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170727 FILED AS OF DATE: 20170731 DATE AS OF CHANGE: 20170731 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Parker Drake R. CENTRAL INDEX KEY: 0001712646 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36545 FILM NUMBER: 17994440 MAIL ADDRESS: STREET 1: C/O INTERSECT ENT, INC. STREET 2: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intersect ENT, Inc. CENTRAL INDEX KEY: 0001271214 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 200280837 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-641-2100 MAIL ADDRESS: STREET 1: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: SINEXUS INC DATE OF NAME CHANGE: 20031124 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-27 0 0001271214 Intersect ENT, Inc. XENT 0001712646 Parker Drake R. C/O INTERSECT ENT, INC. 1555 ADAMS DRIVE MENLO PARK CA 94025 0 1 0 0 Chief Business Officer Stock Option (right to buy) 27.30 2017-07-27 4 A 0 50000 0.00 A 2027-07-26 Common Stock 50000 50000 D The vesting commencement date of the option is July 27, 2017. 25% of the shares subject to the option shall vest on July 27, 2018 and 1/48th of the shares subject to the option shall vest monthly thereafter over three (3) years. /s/ Drake R. Parker 2017-07-28