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