0001181431-15-007551.txt : 20150527
0001181431-15-007551.hdr.sgml : 20150527
20150527181850
ACCESSION NUMBER: 0001181431-15-007551
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150522
FILED AS OF DATE: 20150527
DATE AS OF CHANGE: 20150527
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TriVascular Technologies, Inc.
CENTRAL INDEX KEY: 0001432732
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3910 BRICKWAY BOULEVARD
CITY: SANTA ROSA
STATE: CA
ZIP: 95403
BUSINESS PHONE: 707-543-8800
MAIL ADDRESS:
STREET 1: 3910 BRICKWAY BOULEVARD
CITY: SANTA ROSA
STATE: CA
ZIP: 95403
FORMER COMPANY:
FORMER CONFORMED NAME: TV2 HOLDING Co
DATE OF NAME CHANGE: 20091116
FORMER COMPANY:
FORMER CONFORMED NAME: TV2 HOLDING CO
DATE OF NAME CHANGE: 20080417
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DRANT RYAN D
CENTRAL INDEX KEY: 0001302106
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36419
FILM NUMBER: 15893449
MAIL ADDRESS:
STREET 1: 1119 ST PAUL STREET
CITY: BALTIMORE
STATE: MD
ZIP: 21202
4
1
rrd425313.xml
X0306
4
2015-05-22
0
0001432732
TriVascular Technologies, Inc.
TRIV
0001302106
DRANT RYAN D
1954 GREENSPRING DRIVE
SUITE 600
TIMONIUM
MD
21093
1
0
1
0
Stock Options (Right to buy)
5.85
2015-05-22
4
A
0
10000
0
A
2025-05-21
Common Stock
10000
10000
D
1/12th of the shares underlying the option vest and become exercisable in equal monthly installments through May 22, 2016.
/s/ Sasha Keough, attorney-in-fact
2015-05-27