0001371285-22-000039.txt : 20220214 0001371285-22-000039.hdr.sgml : 20220214 20220214171756 ACCESSION NUMBER: 0001371285-22-000039 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAWLINGS DARRYL CENTRAL INDEX KEY: 0001611679 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36537 FILM NUMBER: 22634860 MAIL ADDRESS: STREET 1: 6100 4TH AVENUE SOUTH STREET 2: SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRUPANION, INC. CENTRAL INDEX KEY: 0001371285 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6100 4TH AVENUE SOUTH STREET 2: SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98108 BUSINESS PHONE: 888-733-2685 MAIL ADDRESS: STREET 1: 6100 4TH AVENUE SOUTH STREET 2: SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98108 FORMER COMPANY: FORMER CONFORMED NAME: TRUPANION INC. DATE OF NAME CHANGE: 20131114 FORMER COMPANY: FORMER CONFORMED NAME: VETINSURANCE INTERNATIONAL INC DATE OF NAME CHANGE: 20060802 5 1 wf-form5_164487705051422.xml FORM 5 X0306 5 2021-12-31 0 0 0 0001371285 TRUPANION, INC. TRUP 0001611679 RAWLINGS DARRYL C/O TRUPANION, INC. 6100 4TH AVENUE SOUTH, SUITE 200 SEATTLE WA 98108 1 1 0 0 CEO Common Stock 2021-02-23 5 G 0 79519 0 D 871703 I By Kuyashii Primary Equities LLC Common Stock 2021-05-11 5 G 0 5406 0 D 546313 D Common Stock 2021-05-11 5 G 0 5406 0 A 877109 I By Kuyashii Primary Equities LLC Represents transfer of shares from reporting person to Rawlings GST Trust dated March 1, 2012, over which the reporting person has no control. Represents transfer of shares from reporting person to Kuyashii Primary Equities, LLC, a limited liability company, indirectly, wholly-owned by the reporting person and reporting person's spouse. /s/ Charlotte Sim-Warner as attorney-in-fact for Darryl Rawlings 2022-02-14