0001562180-17-000298.txt : 20170120
0001562180-17-000298.hdr.sgml : 20170120
20170120194322
ACCESSION NUMBER: 0001562180-17-000298
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170118
FILED AS OF DATE: 20170120
DATE AS OF CHANGE: 20170120
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Earnhardt Lisa D
CENTRAL INDEX KEY: 0001530893
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36545
FILM NUMBER: 17539659
MAIL ADDRESS:
STREET 1: 1555 ADAMS DRIVE
STREET 2: C/O INTERSECT ENT, INC.
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: Earnhardt Lisa
DATE OF NAME CHANGE: 20110922
4
1
primarydocument.xml
PRIMARY DOCUMENT
X0306
4
2017-01-18
false
0001271214
Intersect ENT, Inc.
XENT
0001530893
Earnhardt Lisa D
C/O INTERSECT ENT, INC.
1555 ADAMS DRIVE
MENLO PARK
CA
94025
true
true
false
false
President and CEO
Common Stock
2017-01-18
4
A
false
54000.00
0.00
A
610868.00
D
Common Stock
26182.00
I
See footnote
Stock Options (Right to buy)
13.05
2017-01-18
4
A
false
252000.00
0.00
A
2027-01-17
Common Stock
252000.00
252000.00
D
Represents restricted stock units granted pursuant to the Intersect ENT, Inc. 2014 Equity Incentive Plan. Each restricted stock unit represents a right to receive one share of Intersect ENT, Inc. common stock upon vesting. The restricted stock units vest in equal annual installments over three years commencing on January 1, 2017.
Shares in the name of Lisa Damkroger Earnhardt C/F Jack L. Earnhardt UTMA/CA Until Age 25 for the benefit of Reporting Person's son. Reporting Person disclaims beneficial ownership of these shares.
1/8th of the shares subject to the option vest on July 1, 2017 and 1/48th of the total shares subject to the option vest monthly thereafter over 42 months.
/s/ David A. Lehman, Attorney-in-Fact for Lisa D. Earnhardt
2017-01-20