0001485478-23-000001.txt : 20230109 0001485478-23-000001.hdr.sgml : 20230109 20230109163742 ACCESSION NUMBER: 0001485478-23-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230106 FILED AS OF DATE: 20230109 DATE AS OF CHANGE: 20230109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake Lynn Larson CENTRAL INDEX KEY: 0001485478 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35312 FILM NUMBER: 23518567 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Nuwellis, Inc. CENTRAL INDEX KEY: 0001506492 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 680533453 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 952-345-4200 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 FORMER COMPANY: FORMER CONFORMED NAME: CHF Solutions, Inc. DATE OF NAME CHANGE: 20170523 FORMER COMPANY: FORMER CONFORMED NAME: Sunshine Heart, Inc. DATE OF NAME CHANGE: 20101124 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2023-01-06 0 0001506492 Nuwellis, Inc. NUWE 0001485478 Blake Lynn Larson 12988 VALLEY VIEW ROAD EDEN PRAIRIE MN 55344 0 1 0 0 Chief Financial Officer Nonstatutory Stock Option (right to buy) 8.36 2023-01-06 4 A 0 12417 0 A 2033-01-05 Common Stock 12417 12417 D The options will vest as follows: 25% of the options will vest on October 19, 2023; the remaining options will vest in 36 equal consecutive monthly increments thereafter, so all will be vested on October 19, 2026. /s/ Jessica Herron, by Power of Attorney 2023-01-09