0001104659-24-060582.txt : 20240513 0001104659-24-060582.hdr.sgml : 20240513 20240513163020 ACCESSION NUMBER: 0001104659-24-060582 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240510 FILED AS OF DATE: 20240513 DATE AS OF CHANGE: 20240513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McCormick Shawn CENTRAL INDEX KEY: 0001454092 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38468 FILM NUMBER: 24939553 MAIL ADDRESS: STREET 1: 9600-54TH AVENUE NORTH STREET 2: SUITE 100 CITY: PLYMOUTH STATE: MN ZIP: 55441 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inspire Medical Systems, Inc. CENTRAL INDEX KEY: 0001609550 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 261377674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 1600 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 BUSINESS PHONE: 763-957-5037 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 1600 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 4 1 tm2414211-1_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-05-10 0 0001609550 Inspire Medical Systems, Inc. INSP 0001454092 McCormick Shawn C/O INSPIRE MEDICAL SYSTEMS, INC. 5500 WAYZATA BLVD., SUITE 1600 GOLDEN VALLEY MN 55416 1 0 0 0 0 Common Stock 2024-05-10 4 M 0 2500 0.94 A 15403 D Common Stock 3000 I By trust Stock Option (Right to Buy) 0.94 2024-05-10 4 M 0 2500 0 D 2027-01-01 Common Stock 2500 1019 D The option is fully vested and exercisable. /s/ Bryan Phillips, Attorney-in-Fact for Shawn T McCormick 2024-05-13