0000950103-19-003231.txt : 20190308 0000950103-19-003231.hdr.sgml : 20190308 20190308165334 ACCESSION NUMBER: 0000950103-19-003231 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190306 FILED AS OF DATE: 20190308 DATE AS OF CHANGE: 20190308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WATKINS FRANK T CENTRAL INDEX KEY: 0001305831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38829 FILM NUMBER: 19669810 MAIL ADDRESS: STREET 1: 5403 BETSY ROSS DRIVE CITY: SANTA CLARA STATE: CA ZIP: 95054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ShockWave Medical, Inc. CENTRAL INDEX KEY: 0001642545 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 270494101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 48501 WARM SPRINGS BLVD. STREET 2: STE. 108 CITY: FREMONT STATE: CA ZIP: 94539 BUSINESS PHONE: 510-279-4262 MAIL ADDRESS: STREET 1: 48501 WARM SPRINGS BLVD. STREET 2: STE. 108 CITY: FREMONT STATE: CA ZIP: 94539 4 1 dp103547_4-watkins.xml X0306 4 2019-03-06 0 0001642545 ShockWave Medical, Inc. SWAV 0001305831 WATKINS FRANK T 5403 BETSY ROSS DRIVE SANTA CLARA CA 95054 1 0 0 0 Stock Options (Right to Buy) 17.00 2019-03-06 4 A 0 17381 0 A 2029-03-06 Common Stock 17381 17381 D 1/3rd of the options shall vest each year beginning on March 11, 2020 until 100% of the options have vested. /s/ Trinh Phung, as attorney-in-fact for F.T. Jay Watkins 2019-03-08