SEC Form 4/A · accession 0001209191-16-089935
ENTELLUS MEDICAL INC · ENTL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Jeff L Kogl
Officer — SEE REMARKS
Period of report
Nov 4, 2015
Accepted (ET)
Jan 6, 2016 · 5:04 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001374128
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F1,F2 | $17.81 | Nov 4, 2015 | A | 100,000 | A | — | Nov 4, 2025 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1This amended Form 4 is filed to correct the exercise price and expiration date reported in the Form 4 originally filed on November 4, 2015.
- F2The option vests as to 25% of the shares on the first anniversary of October 26, 2015 and with respect to 1/48th of the shares on each monthly anniversary thereafter, subject to the Reporting Person's continued service through the applicable vesting date.
Remarks
The Reporting Person is Vice President, Business Development & Strategy of the Issuer.