0001214659-18-003935.txt : 20180521 0001214659-18-003935.hdr.sgml : 20180521 20180521183329 ACCESSION NUMBER: 0001214659-18-003935 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180515 FILED AS OF DATE: 20180521 DATE AS OF CHANGE: 20180521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Plovanic William J. CENTRAL INDEX KEY: 0001685640 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37897 FILM NUMBER: 18850962 MAIL ADDRESS: STREET 1: C/O OBALON THERAPEUTICS, INC. STREET 2: 5421 AVENIDA ENCINAS, SUITE F CITY: CARLSBAD STATE: CA ZIP: 92008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OBALON THERAPEUTICS INC CENTRAL INDEX KEY: 0001427570 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5421 AVENIDA ENCINAS STREET 2: SUITE F CITY: San Diego STATE: CA ZIP: 92008 BUSINESS PHONE: 858-480-2400 MAIL ADDRESS: STREET 1: 5421 AVENIDA ENCINAS STREET 2: SUITE F CITY: San Diego STATE: CA ZIP: 92008 4/A 1 marketforms-42044.xml PRIMARY DOCUMENT X0306 4/A 2018-05-15 2018-05-17 0001427570 OBALON THERAPEUTICS INC OBLN 0001685640 Plovanic William J. C/O OBALON THERAPEUTICS, INC. 5421 AVENIDA ENCINAS, SUITE F CARLSBAD CA 92008 false true false false Chief Financial Officer Common Stock 15000 I By IRA Common Stock 15000 I By wife IRA Due to a clerical error, the reporting person is filing this amendment to the Form 4 originally filed on May 17, 2018 (this "Amendment") to correct the amount of non-derivative securities beneficially owned from 24,700 to 15,000. Due to a clerical error, the reporting person is filing this Amendment to correct the amount of non-derivative securities beneficially owned from 24,588 to 15,000. /s/ Nooshin Hussainy as attorney-in-fact for William J. Plovanic 2018-05-21