0001144204-17-043745.txt : 20170816
0001144204-17-043745.hdr.sgml : 20170816
20170816193105
ACCESSION NUMBER: 0001144204-17-043745
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170808
FILED AS OF DATE: 20170816
DATE AS OF CHANGE: 20170816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Choi Ki Yong
CENTRAL INDEX KEY: 0001407536
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 171037462
MAIL ADDRESS:
STREET 1: 1255 POST STREET, SUITE 915
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94109
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
4
1
v473525_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-08-08
0
0001506492
CHF Solutions, Inc.
CHFS
0001407536
Choi Ki Yong
36 GREAT CIRCLE DRIVE
MILL VALLEY
CA
94941
0
0
1
0
Common Stock
2017-08-08
4
P
0
180000
0.78
A
1640000
D
Common Stock
2017-08-10
4
P
0
13253
0.64
A
1653253
D
August 8, 2017 and August 9, 2017.
August 10, 2017 through August 14, 2017.
/s/ Ki-Yong Choi
2017-08-16