0001214659-18-005737.txt : 20180827 0001214659-18-005737.hdr.sgml : 20180827 20180827213308 ACCESSION NUMBER: 0001214659-18-005737 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180823 FILED AS OF DATE: 20180827 DATE AS OF CHANGE: 20180827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Drake Neil CENTRAL INDEX KEY: 0001698005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37897 FILM NUMBER: 181040030 MAIL ADDRESS: STREET 1: 12020 LEAST TERN COURT CITY: SAN DIEGO STATE: CA ZIP: 92129 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 1 marketforms-42790.xml PRIMARY DOCUMENT X0306 4 2018-08-23 0001427570 OBALON THERAPEUTICS INC OBLN 0001698005 Drake Neil C/O OBALON THERAPEUTICS, INC. 5421 AVENIDA ENCINAS, STUIE F CARLSBAD CA 92008 false true false false VP Research and Development Common Stock 2018-08-23 4 A false 13736 1.82 A 61267 D The reporting person purchased these shares directly from the issuer in a private placement. Includes Restricted Shares that are subject to vesting. /s/ Nooshin Hussainy as attorney-in-fact for Neil Drake 2018-08-27