SEC Form 4 · accession 0001209191-17-034513
Inogen Inc · INGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ray Benjamin M Anderson
Director
Period of report
May 18, 2017
Accepted (ET)
May 22, 2017 · 7:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001294133
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 18, 2017 | M | 4,445 | $16.62 | A | 4,445 | D | |
| Common StockF1 | May 18, 2017 | S | 4,445 | $81.0509 | D | 0 | D | |
| Common StockF2 | holding | — | — | — | 4,896 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3,F4 | $16.62 | May 18, 2017 | M | 4,445 | D | — | Mar 31, 2021 | Common Stock | 4,445 | 0 | D |
Explanation of responses
- F1Represents the weighted average share price of an aggregate total of 4,445 shares sold in the price range of $81.00 to $81.31 by the reporting person. The reporting person undertakes to provide upon request by the Commission staff, the issuer or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
- F2Shares were previously reported as directly owned by the reporting person. Shares held of record by the Benjamin M. Anderson-Ray Revocable Living Trust (the "Trust"), of which the reporting person and his spouse are the trustees and beneficiaries. The reporting person has shared voting and investment power with respect to the shares held of record by the Trust.
- F3Subject to the reporting person's continuing service, 1/24th of the total shares subject to the option shall vest every month after April 1, 2014.
- F4Previous Forms 4 indicated an incorrect expiration date.