0001596771-17-000052.txt : 20170606
0001596771-17-000052.hdr.sgml : 20170606
20170606163525
ACCESSION NUMBER: 0001596771-17-000052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170602
FILED AS OF DATE: 20170606
DATE AS OF CHANGE: 20170606
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CHF Solutions, Inc.
CENTRAL INDEX KEY: 0001506492
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 680533453
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: 952-345-4200
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
FORMER COMPANY:
FORMER CONFORMED NAME: Sunshine Heart, Inc.
DATE OF NAME CHANGE: 20101124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salveson Jon W
CENTRAL INDEX KEY: 0001372026
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 17894523
MAIL ADDRESS:
STREET 1: 800 NICOLLET MALL
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55402
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-06-02
0
0001506492
CHF Solutions, Inc.
CHFS
0001372026
Salveson Jon W
800 NICOLLET MALL
MINNEAPOLIS
MN
55402
1
0
0
0
Non-Qualified Stock Option (right to buy)
0.57
2017-06-02
4
A
0
8000
0
A
2027-06-01
Common Stock
8000
8000
D
Vests in 12 approximately equal consecutive monthly increments, commencing on the one-month anniversary of the date of grant, so that all of the options will be vested on the one-year anniversary of the date of grant.
Gayle C. Aiken, by Power of Attorney
2017-06-06