SEC Form 4 · accession 0001246360-16-006358
IMPINJ INC · PI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Chris Diorio Ph.D.
Officer — Chief Executive Officer · Director
Period of report
Jul 26, 2016
Accepted (ET)
Jul 26, 2016 · 7:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001114995
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | Jul 26, 2016 | C | 4,982 | $0.00 | A | 388,314 | D | |
| COMMON STOCK | holding | — | — | — | 699,999 | I | by DFT L.L.C | |
| COMMON STOCK | holding | — | — | — | 12,500 | I | by Diorio Children's Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SERIES 2 PREFERRED STOCKF1 | $0.00 | Jul 26, 2016 | C | 3,985 | D | — | — | COMMON STOCK | 3,985 | 0 | D |
Explanation of responses
- F1Each share of Series 2 Preferred Stock automatically converted into 1.24996780424983 shares of Common Stock immediately prior to the completion of the Issuer's initial public offering of Common Stock and had no expiration date.