0001209191-16-150720.txt : 20161116 0001209191-16-150720.hdr.sgml : 20161116 20161116200042 ACCESSION NUMBER: 0001209191-16-150720 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161115 FILED AS OF DATE: 20161116 DATE AS OF CHANGE: 20161116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TANDEM DIABETES CARE INC CENTRAL INDEX KEY: 0001438133 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 204327508 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11045 ROSELLE STREET STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 BUSINESS PHONE: 858-366-6900 MAIL ADDRESS: STREET 1: 11045 ROSELLE STREET STREET 2: SUITE 200 CITY: San Diego STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Allen Dick CENTRAL INDEX KEY: 0001582779 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36189 FILM NUMBER: 162003623 MAIL ADDRESS: STREET 1: 11045 ROSELLE STREET CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-15 0 0001438133 TANDEM DIABETES CARE INC TNDM 0001582779 Allen Dick C/O TANDEM DIABETES CARE, INC., 11045 ROSELLE STREET SAN DIEGO CA 92121 1 0 0 0 Stock Options 1.90 2016-11-15 4 A 0 17000 0.00 A Common Stock 17000 17000 D Granted pursuant to the Tandem Diabetes Care, Inc. 2013 Stock Incentive Plan. All shares subject to the option will vest in equal monthly installments over 12 months. The expiration date for these options is 10 years from the date of grant. /s/ David B. Berger, Attorney-in-Fact for Dick P. Allen 2016-11-16