0001209191-17-004603.txt : 20170119 0001209191-17-004603.hdr.sgml : 20170119 20170119172137 ACCESSION NUMBER: 0001209191-17-004603 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170117 FILED AS OF DATE: 20170119 DATE AS OF CHANGE: 20170119 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Senseonics Holdings, Inc. CENTRAL INDEX KEY: 0001616543 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 471210911 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20451 SENECA MEADOWS PARKWAY CITY: GERMANTOWN STATE: MD ZIP: 20876 BUSINESS PHONE: (301) 515-7260 MAIL ADDRESS: STREET 1: 20451 SENECA MEADOWS PARKWAY CITY: GERMANTOWN STATE: MD ZIP: 20876 FORMER COMPANY: FORMER CONFORMED NAME: ASN Technologies, Inc. DATE OF NAME CHANGE: 20140813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elsey R Don CENTRAL INDEX KEY: 0001380742 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37717 FILM NUMBER: 17536677 MAIL ADDRESS: STREET 1: 2273 RESEARCH BLVD, SUITE 400 CITY: ROCKVILLE STATE: MD ZIP: 20850 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-17 0 0001616543 Senseonics Holdings, Inc. SENS 0001380742 Elsey R Don 20451 SENECA MEADOWS PARKWAY GERMANTOWN MD 20876-7005 0 1 0 0 CFO, Secretary and Treasurer Stock Option (right to buy) 2.74 2017-01-17 4 A 0 313391 0.00 A 2027-01-16 Common Stock 313391 313391 D Shares vest monthly over four years subject to the reporting person's continuous service with the issuer as of the applicable vesting date. /s/ Darren DeStefano, Attorney-in-fact 2017-01-19