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