SEC Form 4 · accession 0001209191-19-011719
IMPINJ INC · PI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey Dossett
Officer — EVP, Sales & Marketing
Period of report
May 16, 2018
Accepted (ET)
Feb 20, 2019 · 5:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001114995
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (RTB)F1,F2 | $40.96 | May 16, 2018 | D | 130,000 | D | — | May 21, 2027 | Common Stock | 130,000 | 0 | D |
| Stock Option (RTB)F1,F3 | $17.33 | May 16, 2018 | A | 72,221 | A | — | May 16, 2028 | Common Stock | 72,221 | 72,221 | D |
| Stock Option (RTB)F4,F5 | $25.31 | May 16, 2018 | D | 25,000 | D | — | Jan 22, 2028 | Common Stock | 25,000 | 0 | D |
| Stock Option (RTB)F4,F6 | $17.33 | May 16, 2018 | A | 19,230 | A | — | May 16, 2028 | Common Stock | 19,230 | 19,230 | D |
Explanation of responses
- F1On May 16, 2018, the Issuer cancelled, pursuant to the Issuer's option exchange program, an option granted to the Reporting Person on May 21, 2017. Each exchanged option to purchase one share of common stock was replaced with a new option to purchase a number of shares of common stock equal to the number of options exchanged divided by 1.80, which represents an exchange ratio based on the exercise price of the exchanged option, subject to rounding.
- F2One-fourth of the shares subject to the option vested on May 3, 2018, and 1/48th of the shares subject to the option shall vest each month thereafter.
- F3One-fourth of the shares subject to the option vested on November 16, 2018, and 1/48th of the shares subject to the option shall vest on the 3rd day of each month thereafter.
- F4On May 16, 2018, the Issuer cancelled, pursuant to the Issuer's option exchange program, an option granted to the Reporting Person on January 22, 2018. Each exchanged option to purchase one share of common stock was replaced with a new option to purchase a number of shares of common stock equal to the number of options exchanged divided by 1.30, which represents an exchange ratio based on the exercise price of the exchanged option, subject to rounding.
- F5One-fourth of the shares subject to the option vested on January 1, 2019, and 1/48th of the shares subject to the option shall vest each month thereafter.
- F6One-fourth of the shares subject to the option shall vest on July 1, 2019, and 1/48th of the shares subject to the option shall vest each month thereafter.