0001438133-21-000074.txt : 20210601
0001438133-21-000074.hdr.sgml : 20210601
20210601191541
ACCESSION NUMBER: 0001438133-21-000074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210527
FILED AS OF DATE: 20210601
DATE AS OF CHANGE: 20210601
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: 21987101
MAIL ADDRESS:
STREET 1: 11045 ROSELLE STREET
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
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: 11075 ROSELLE STREET
CITY: San Diego
STATE: CA
ZIP: 92121
BUSINESS PHONE: 858-366-6900
MAIL ADDRESS:
STREET 1: 11075 ROSELLE STREET
CITY: San Diego
STATE: CA
ZIP: 92121
4
1
wf-form4_162258930001208.xml
FORM 4
X0306
4
2021-05-27
0
0001438133
TANDEM DIABETES CARE INC
TNDM
0001582779
Allen Dick
C/O TANDEM DIABETES CARE, INC.,
11075 ROSELLE STREET
SAN DIEGO
CA
92121
1
0
0
0
Common Stock
2021-05-27
4
M
0
1892
0
A
1892
D
Common Stock
25000
I
See Footnote
Common Stock
1000
I
See Footnotes
Common Stock
1000
I
See Footnote(s)
Common Stock
7526
I
See Footnotes)
Restricted Stock Unit
2021-05-27
4
M
0
1892
0
D
Common Stock
1892.0
0
D
The securities are held by the Allen Family Trust dated October 12, 1981.
The securities are held by the Gammon Children's 2000 Trust FBO Hannah Lee Gammon. The Reporting Person is co-trustee of the Gammon Children's 2000 Trust FBO Hannah Lee Gammon and has shared voting and investment power over the securities held by the Gammon Children's 2000 Trust FBO Hannah Lee Gammon and may be deemed to have indirect beneficial ownership of such securities. The Reporting Person disclaims beneficial ownership of such securities held by the Gammon Children's 2000 Trust FBO Hannah Lee Gammon.
The securities are held by the Gammon Children's 2000 Trust FBO Jake Allen Gammon. The Reporting Person is co-trustee of the Gammon Children's 2000 Trust FBO Jake Allen Gammon and has shared voting and investment power over the securities held by the Gammon Children's 2000 Trust FBO Jake Allen Gammon and may be deemed to have indirect beneficial ownership of such securities. The Reporting Person disclaims beneficial ownership of such securities held by the Gammon Children's 2000 Trust FBO Jake Allen Gammon.
The securities are held by Allen Cornerstone Ventures L.P. The Reporting Person is the managing partner of Allen Cornerstone Ventures L.P. and may be deemed to have indirect beneficial ownership of such securities. The Reporting Person disclaims beneficial ownership of such securities held by Allen Cornerstone Ventures L.P., except to the extent of his proportionate pecuniary interest therein.
Granted pursuant to the Tandem Diabetes Care, Inc. 2013 Stock Incentive Plan (the 2013 Plan).
Each restricted stock unit (RSU) represents a contingent right to receive one share of common stock of the Company.
This RSU award was granted on May 27, 2020. 100% of the RSU vested on May 27, 2021.
RSU vest as to one-hundred percent (100%) of the total number of shares subject to the RSU on 5/27/2021.
s/ David B. Berger, Attorney-in-Fact for Dick P. Allen
2021-06-01