0001321732-18-000029.txt : 20180221
0001321732-18-000029.hdr.sgml : 20180221
20180221193847
ACCESSION NUMBER: 0001321732-18-000029
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180216
FILED AS OF DATE: 20180221
DATE AS OF CHANGE: 20180221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kassing Don W.
CENTRAL INDEX KEY: 0001651324
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37557
FILM NUMBER: 18630241
MAIL ADDRESS:
STREET 1: 1351 HARBOR BAY PARKWAY
CITY: ALAMEDA
STATE: CA
ZIP: 94502
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Penumbra Inc
CENTRAL INDEX KEY: 0001321732
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE PENUMBRA PLACE
CITY: ALAMEDA
STATE: CA
ZIP: 94502
BUSINESS PHONE: (510) 995-2486
MAIL ADDRESS:
STREET 1: ONE PENUMBRA PLACE
CITY: ALAMEDA
STATE: CA
ZIP: 94502
4
1
wf-form4_151925991086811.xml
FORM 4
X0306
4
2018-02-16
0
0001321732
Penumbra Inc
PEN
0001651324
Kassing Don W.
ONE PENUMBRA PLACE
ALAMEDA
CA
94502
1
0
0
0
Common Stock
2018-02-16
4
A
0
1215
0
A
2663
D
Common Stock
8500
I
By Trust
Restricted stock units vest as to 1/4 on each of March 31, 2018, June 30, 2018, September 30, 2018 and December 31, 2018, subject to Mr. Kassing's continued service as a director through such dates.
A portion of these shares is subject to vesting.
Shares are held by The Kassing Family Trust.
/s/ Johanna Roberts, as attorney-in-fact for Don W. Kassing
2018-02-21