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