SEC Form 4 · accession 0001246360-18-002057
IMPINJ INC · PI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Clinton Bybee
Director
Period of report
Jun 14, 2018
Accepted (ET)
Aug 16, 2018 · 2:35 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 STOCKF4 | Jun 14, 2018 | M | 2,023 | $0.00 | A | 6,440 | D | |
| COMMON STOCKF1,F2,F3 | holding | — | — | — | 1,366,735 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RESTRICTED STOCK UNITS - 2017F5,F6 | — | Jun 14, 2018 | M | 2,023 | D | — | — | COMMON STOCK | 2,023 | 0 | D |
| RESTRICTED STOCK UNITS - 2018F5,F7 | — | Aug 13, 2018 | A | 4,754 | A | — | — | COMMON STOCK | 4,754 | 4,754 | D |
Explanation of responses
- F11,357,816 of these shares are held of record by ARCH Venture Fund V, L.P.; and 8,919 of these shares are held of record by ARCH V Entrepreneurs Fund, L.P.
- F2Clinton Bybee, a member of the board of directors, is a managing director of ARCH Venture Partners V, LLC, and may be deemed to beneficially own certain of the shares held of record by ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P. Mr. Bybee disclaims beneficial ownership of all shares held of record by ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P., of which he does not have an actual pecuniary interest. By virtue of their relationship as affiliated entities who have overlapping general partners and managing directors, ARCH Venture Fund V, L.P., ARCH V Entrepreneurs Fund, L.P., ARCH Venture Partners V, L.P., ARCH Venture Partners V, LLC and Mr. Bybee may be deemed to share the voting and investment control of the record shares.
- F3ARCH Venture Partners V, L.P., as the sole general partner of ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P., may be deemed to beneficially own certain of the shares held of record by ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P., but disclaims beneficial ownership of such shares, in which it does not have an actual pecuniary interest. ARCH Venture Partners V, LLC, as the sole general partner of ARCH Venture Partners V, L.P., may be deemed to beneficially own certain of the shares held of record by ARCH Venture Fund V, L.P. and ARCH V Entrepreneurs Fund, L.P. but disclaims beneficial ownership of such shares, in which it does not have an actual pecuniary interest.
- F4Restricted stock units convert to common stock on a one-to-one basis.
- F5Each restricted stock unit represents a contingent right to receive one share of Impinj common stock.
- F6On June 14, 2017, the reporting person was granted 2,023 restricted stock units (RSUs). These RSUs fully vested on June 14, 2018.
- F7The restricted stock units will fully vest on August 13, 2019.