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