SEC Form 4 · accession 0001321732-17-000012
Penumbra Inc · PEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam Elsesser
Officer — Chairman, CEO and President · Director
Period of report
Jan 25, 2017
Accepted (ET)
Jan 27, 2017 · 8:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001321732
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 25, 2017 | M | 16,500 | $1.26 | A | 1,252,338 | D | |
| Common StockF2 | Jan 25, 2017 | S | 10,498 | $74.99 | D | 1,241,840 | D | |
| Common StockF3 | Jan 25, 2017 | S | 6,002 | $75.61 | D | 1,235,838 | D | |
| Common Stock | Jan 26, 2017 | M | 9,500 | $1.26 | A | 1,245,338 | D | |
| Common StockF4 | Jan 26, 2017 | S | 5,802 | $72.85 | D | 1,239,536 | D | |
| Common StockF5 | Jan 26, 2017 | S | 3,598 | $73.68 | D | 1,235,938 | D | |
| Common Stock | Jan 26, 2017 | S | 100 | $75.05 | D | 1,235,838 | D | |
| Common Stock | Jan 27, 2017 | M | 5,500 | $1.26 | A | 1,241,338 | D | |
| Common StockF6 | Jan 27, 2017 | S | 4,900 | $72.38 | D | 1,236,438 | D | |
| Common StockF7 | Jan 27, 2017 | S | 600 | $73.36 | D | 1,235,838 | D | |
| Common StockF8 | holding | — | — | — | 14,144 | I | By Trust |
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)F9 | $1.26 | Jan 25, 2017 | M | 16,500 | D | — | Sep 30, 2017 | Common Stock | 16,500 | 83,500 | D |
| Stock Option (right to buy)F9 | $1.26 | Jan 26, 2017 | M | 9,500 | D | — | Sep 30, 2017 | Common Stock | 9,500 | 74,000 | D |
| Stock Option (right to buy)F9 | $1.26 | Jan 27, 2017 | M | 5,500 | D | — | Sep 30, 2017 | Common Stock | 5,500 | 68,500 | D |
Explanation of responses
- F1The sales were effected pursuant to the Reporting Person's Rule 10b5-1 trading plan.
- F2This transaction was executed in multiple trades at prices ranging from $74.25 to $75.20. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F3This transaction was executed in multiple trades at prices ranging from $75.25 to $75.90. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provideupon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F4This transaction was executed in multiple trades at prices ranging from $72.40 to $73.35. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F5This transaction was executed in multiple trades at prices ranging from $73.45 to $74.35. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F6This transaction was executed in multiple trades at prices ranging from $71.95 to $72.90. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F7This transaction was executed in multiple trades at prices ranging from $73.15 to $73.70. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F8Shares are held by the Siegel/Elsesser Revocable Trust.
- F9All shares are vested and exercisable.