0001596771-18-000063.txt : 20180529
0001596771-18-000063.hdr.sgml : 20180529
20180529162644
ACCESSION NUMBER: 0001596771-18-000063
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180525
FILED AS OF DATE: 20180529
DATE AS OF CHANGE: 20180529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brandt Steven Frank
CENTRAL INDEX KEY: 0001697556
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 18864815
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/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4/A
2018-05-25
2018-05-18
0
0001506492
CHF Solutions, Inc.
CHFS
0001697556
Brandt Steven Frank
12988 VALLEY VIEW ROAD
EDEN PRAIRIE
MN
55344
1
0
0
0
Nonstatutory Stock Option (right to buy)
3.01
2018-05-25
4
A
0
10000
0
A
2028-05-24
Common Stock
10000
10000
D
On May 18, 2018, the reporting person mistakenly filed a Form 4 reporting the grant of an option to purchase 10,000 shares of common stock on May 16, 2018 that did not in fact occur. Such grant was not made until May 25, 2018, as reflected in this amended form.
Vests in 12 approximately equal consecutive monthly increments, commencing on the one-month anniversary of the date of grant, so that all of the options will be vested on the one-year anniversary of the date of grant.
/s/ Stephanie Swan, by Power of Attorney
2018-05-29