0001494650-21-000082.txt : 20210617
0001494650-21-000082.hdr.sgml : 20210617
20210617184648
ACCESSION NUMBER: 0001494650-21-000082
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210615
FILED AS OF DATE: 20210617
DATE AS OF CHANGE: 20210617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clavelli Victor M
CENTRAL INDEX KEY: 0001803982
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38241
FILM NUMBER: 211026383
MAIL ADDRESS:
STREET 1: 1020 STONY HILL ROAD
STREET 2: SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OptiNose, Inc.
CENTRAL INDEX KEY: 0001494650
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 421771610
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1020 STONY HILL ROAD
STREET 2: SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
BUSINESS PHONE: 267-364-3500
MAIL ADDRESS:
STREET 1: 1020 STONY HILL ROAD
STREET 2: SUITE 300
CITY: YARDLEY
STATE: PA
ZIP: 19067
4
1
wf-form4_162396999316031.xml
FORM 4
X0306
4
2021-06-15
0
0001494650
OptiNose, Inc.
OPTN
0001803982
Clavelli Victor M
C/O OPTINOSE, INC.
1020 STONY HILL ROAD, SUITE 300
YARDLEY
PA
19067
0
1
0
0
Chief Commercial Officer
Common Stock
2021-06-15
4
F
0
1177
3.75
D
141101
D
Represents the cancelation of restricted stock units (RSUs) in satisfaction of the reporting person's tax liability on the vesting of such RSU grant received on March 6, 2020.
/s/ Michele Janis, Attorney-in-Fact
2021-06-17