0001209191-22-059519.txt : 20221202
0001209191-22-059519.hdr.sgml : 20221202
20221202201951
ACCESSION NUMBER: 0001209191-22-059519
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221114
FILED AS OF DATE: 20221202
DATE AS OF CHANGE: 20221202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Godshall Douglas Evan
CENTRAL INDEX KEY: 0001404227
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38829
FILM NUMBER: 221443539
MAIL ADDRESS:
STREET 1: SUITE 4 LEVEL 46 2 PARK STREET
CITY: SIDNEY
STATE: C3
ZIP: 2000
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Shockwave Medical, Inc.
CENTRAL INDEX KEY: 0001642545
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 270494101
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: (510) 279-4262
MAIL ADDRESS:
STREET 1: 5403 BETSY ROSS DRIVE
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
FORMER COMPANY:
FORMER CONFORMED NAME: ShockWave Medical, Inc.
DATE OF NAME CHANGE: 20150515
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2022-11-14
2022-11-16
0
0001642545
Shockwave Medical, Inc.
SWAV
0001404227
Godshall Douglas Evan
C/O SHOCKWAVE MEDICAL, INC.
5403 BETSY ROSS DRIVE
SANTA CLARA
CA
95054
1
1
0
0
President & CEO
Common Stock
2022-11-14
4
M
0
30000
3.416
A
142926
D
Stock Option
3.416
2022-11-14
4
M
0
30000
0.00
D
2027-05-09
Common Stock
30000
394799
D
All transactions reported here were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on 2/27/2022.
Twenty-Five percent of the shares subject to this option vested on 5/9/18 and the balance of the shares vested in equal monthly installments.
This Form 4 is being amended to correct the following in Table I and Table II, above: (i) add reference to an option exercise on November 14, 2022 of 30,000 shares ; and (ii) correct and restate the aggregate ownership of Common Stock of the Issuer held by the Reporting Person as of November 14, 2022, pursuant to the foregoing correction.
/s/ Wade Estey, as attorney-in-fact for Douglas Godshall
2022-12-02