0001127602-24-020036.txt : 20240703 0001127602-24-020036.hdr.sgml : 20240703 20240703150144 ACCESSION NUMBER: 0001127602-24-020036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240701 FILED AS OF DATE: 20240703 DATE AS OF CHANGE: 20240703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hill, Mitch C. CENTRAL INDEX KEY: 0001644989 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39293 FILM NUMBER: 241099726 MAIL ADDRESS: STREET 1: 1009 TENNYSON DRIVE CITY: SOUTHLAKE STATE: TX ZIP: 76902 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inari Medical, Inc. CENTRAL INDEX KEY: 0001531048 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 452902923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6001 OAK CANYON, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-923-4747 MAIL ADDRESS: STREET 1: 6001 OAK CANYON, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: Inceptus Newco1 Inc. DATE OF NAME CHANGE: 20110923 4 1 form4.xml PRIMARY DOCUMENT X0508 4 2024-07-01 0001531048 Inari Medical, Inc. NARI 0001644989 Hill, Mitch C. C/O INARI MEDICAL, INC. 6001 OAK CANYON IRVINE CA 92618 1 Chief Financial Officer 0 Common Stock 2024-07-01 4 F 0 331 50.19 D 180963 D Common Stock 2024-07-01 4 F 0 616 50.19 D 180347 D Common Stock 2024-07-01 4 F 0 662 50.19 D 179685 D Common Stock 2024-07-01 4 F 0 458 50.19 D 179227 D Common Stock 1600 I By Spouse Consists of shares of common stock retained by Inari to satisfy the reporting person's tax obligation in connection with the vesting of restricted share units awarded in 2021. Consists of shares of common stock retained by Inari to satisfy the reporting person's tax obligation in connection with the vesting of restricted share units awarded in 2022. Consists of shares of common stock retained by Inari to satisfy the reporting person's tax obligation in connection with the vesting of restricted share units awarded in 2023. Consists of shares of common stock retained by Inari to satisfy the reporting person's tax obligation in connection with the vesting of restricted share units awarded in 2024. /s/ Shannon Trevino, attorney-in-fact for Mitch C. Hill 2024-07-03