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