0001596771-22-000002.txt : 20220304
0001596771-22-000002.hdr.sgml : 20220304
20220304125825
ACCESSION NUMBER: 0001596771-22-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220303
FILED AS OF DATE: 20220304
DATE AS OF CHANGE: 20220304
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: 22713217
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Nuwellis, 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: CHF Solutions, Inc.
DATE OF NAME CHANGE: 20170523
FORMER COMPANY:
FORMER CONFORMED NAME: Sunshine Heart, Inc.
DATE OF NAME CHANGE: 20101124
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2022-03-03
0
0001506492
Nuwellis, Inc.
NUWE
0001777051
Jaramillo Nestor Jr.
12988 VALLEY VIEW ROAD
EDEN PRAIRIE
MN
55344
1
1
0
0
President and CEO
Incentive Stock Option (right to buy)
0.94
2022-03-03
4
A
0
101190
0
A
2032-03-02
Common Stock
101190
101190
D
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, so all will be vested on the four-year anniversary of the date of grant.
/s/ Paul Wotta, by Power of Attorney
2022-03-04