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