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