0001209191-16-150722.txt : 20161116
0001209191-16-150722.hdr.sgml : 20161116
20161116200230
ACCESSION NUMBER: 0001209191-16-150722
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161115
FILED AS OF DATE: 20161116
DATE AS OF CHANGE: 20161116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TANDEM DIABETES CARE INC
CENTRAL INDEX KEY: 0001438133
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 204327508
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11045 ROSELLE STREET
STREET 2: SUITE 200
CITY: San Diego
STATE: CA
ZIP: 92121
BUSINESS PHONE: 858-366-6900
MAIL ADDRESS:
STREET 1: 11045 ROSELLE STREET
STREET 2: SUITE 200
CITY: San Diego
STATE: CA
ZIP: 92121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cohen Fred E
CENTRAL INDEX KEY: 0001339358
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36189
FILM NUMBER: 162003627
MAIL ADDRESS:
STREET 1: 301 COMMERCE STREET
STREET 2: SUITE 3300
CITY: FORT WORTH
STATE: TX
ZIP: 76102
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-15
0
0001438133
TANDEM DIABETES CARE INC
TNDM
0001339358
Cohen Fred E
C/O TPG GLOBAL, LLC
301 COMMERCE STREET, SUITE 3300
FORT WORTH
TX
76102
1
0
0
0
Stock Options
1.90
2016-11-15
4
A
0
17000
0.00
A
Common Stock
17000
17000
D
Granted pursuant to the Tandem Diabetes Care, Inc. 2013 Stock Incentive Plan.
All shares subject to the option will vest in equal monthly installments over 12 months.
The expiration date for these options is 10 years from the date of grant.
/s/ David B. Berger, Attorney-in-Fact for Dr. Fred E. Cohen
2016-11-16