0001209191-17-067636.txt : 20171229 0001209191-17-067636.hdr.sgml : 20171229 20171229162933 ACCESSION NUMBER: 0001209191-17-067636 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171227 FILED AS OF DATE: 20171229 DATE AS OF CHANGE: 20171229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Ray Benjamin M CENTRAL INDEX KEY: 0001331802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36309 FILM NUMBER: 171282230 MAIL ADDRESS: STREET 1: 1100 NORTH WASHINGTON STREET CITY: DELPHI STATE: IN ZIP: 46923 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inogen Inc CENTRAL INDEX KEY: 0001294133 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 BUSINESS PHONE: 805-562-0500 MAIL ADDRESS: STREET 1: 326 BOLLAY DRIVE CITY: GOLETA STATE: CA ZIP: 93117 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-27 0 0001294133 Inogen Inc INGN 0001331802 Anderson Ray Benjamin M C/O INOGEN, INC. 326 BOLLAY DRIVE GOLETA CA 93117 1 0 0 0 Common Stock 2017-12-27 5 G 0 E 380 0.00 D 4516 I See Footnote Shares held of record by the Benjamin M. Anderson-Ray Revocable Living Trust (the "Trust"), of which the reporting person and his spouse are the trustees and beneficiaries. The reporting person has shared voting and investment power with respect to the shares held of record by the Trust. /s/ Alison Bauerlein, as Attorney-in-Fact 2017-12-29