0001990724-23-000002.txt : 20230906
0001990724-23-000002.hdr.sgml : 20230906
20230906162345
ACCESSION NUMBER: 0001990724-23-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230902
FILED AS OF DATE: 20230906
DATE AS OF CHANGE: 20230906
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scott Robert Benjamin
CENTRAL INDEX KEY: 0001990724
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 231239480
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
X0508
4
2023-09-02
0
0001506492
Nuwellis, Inc.
NUWE
0001990724
Scott Robert Benjamin
12988 VALLEY VIEW ROAD
EDEN PRAIRIE
MN
55344
0
1
0
0
Chief Financial Officer
0
Incentive Stock Option (right to buy)
1.79
2023-09-02
4
A
0
18643
0
A
2033-09-01
Common Stock
18643
18643
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/ Jessica Herron, by Power of Attorney
2023-09-06