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