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