0001590948-16-000003.txt : 20160629 0001590948-16-000003.hdr.sgml : 20160629 20160629174828 ACCESSION NUMBER: 0001590948-16-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160627 FILED AS OF DATE: 20160629 DATE AS OF CHANGE: 20160629 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: CARSCADDEN GWEN R. CENTRAL INDEX KEY: 0001590948 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36545 FILM NUMBER: 161739859 MAIL ADDRESS: STREET 1: C/O INTERSECT ENT, INC. STREET 2: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-06-27 0 0001271214 Intersect ENT, Inc. XENT 0001590948 CARSCADDEN GWEN R. C/O INTERSECT ENT, INC. 1555 ADAMS DRIVE MENLO PARK CA 94025 0 1 0 0 Chief People Officer Stock Option (right to buy) 12.19 2016-06-27 4 A 0 50000 0 A 2026-06-27 Common Stock 50000 50000 D 25% of the shares subject to the option vest on June 27, 2017 and 1/48th of the shares subject to the option vests monthly thereafter over three (3) years. /s/ Gwen Carscadden 2016-06-27