0001686266-17-000014.txt : 20171012 0001686266-17-000014.hdr.sgml : 20171012 20171012175944 ACCESSION NUMBER: 0001686266-17-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171006 FILED AS OF DATE: 20171012 DATE AS OF CHANGE: 20171012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ansari Naqeeb A. CENTRAL INDEX KEY: 0001663861 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33818 FILM NUMBER: 171135237 MAIL ADDRESS: STREET 1: 2800 PATTON ROAD CITY: ST. PAUL STATE: MN ZIP: 55113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EnteroMedics Inc CENTRAL INDEX KEY: 0001371217 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 BUSINESS PHONE: 651-634-3003 MAIL ADDRESS: STREET 1: 2800 Patton Rd CITY: St Paul STATE: MN ZIP: 55113 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-10-06 1 0001371217 EnteroMedics Inc ETRM 0001663861 Ansari Naqeeb A. 2800 PATTON ROAD ST. PAUL MN 55113 0 1 0 0 VP, Int'l Sales & US Vet Hosp. Common Stock, $0.01 par value per share 143 D Stock Option (right to buy) 2.05 2017-10-06 4 A 0 145226 0 A 2027-10-06 Common stock 145226 145226 D Subject to continued service of employee, 25% of shares will vest on one-year anniversary of October 6, 2017 and the remaining 75% of shares will vest in as nearly equal amounts as possible on the last day of each of the next 36 months thereafter. /s/ Scott P. Youngstrom, attorney-in-fact 2017-10-12