0001567619-19-012257.txt : 20190528
0001567619-19-012257.hdr.sgml : 20190528
20190528175441
ACCESSION NUMBER: 0001567619-19-012257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190523
FILED AS OF DATE: 20190528
DATE AS OF CHANGE: 20190528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jaramillo Nestor Jr.
CENTRAL INDEX KEY: 0001777051
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 19858929
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CHF Solutions, 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: Sunshine Heart, Inc.
DATE OF NAME CHANGE: 20101124
4
1
doc1.xml
FORM 4
X0306
4
2019-05-23
0
0001506492
CHF Solutions, Inc.
CHFS
0001777051
Jaramillo Nestor Jr.
12988 VALLEY VIEW ROAD
EDEN PRAIRIE
MN
55344
0
1
0
0
Chief Commercial Officer
Nonstatutory Stock Option
3.42
2019-05-23
4
A
0
84489
0.00
A
2029-05-22
Common Stock
84489
84489
D
(1) The options will vest as follows: 25% of the options will vest on the one-year anniversary of the date of grant; the remaining options will vest in 36 equal consecutive monthly increments thereafter, such that all of the options will be vested on the four-year anniversary of the date of grant.
Thomas Lynch, By Power of Attorney
2019-05-28