13D Filing: Kim D Blickenstaff and Tandem Diabetes Care Inc (NASDAQ:TNDM)

NAMES OF
REPORTING PERSONS

KIM BLICKENSTAFF REVOCABLE TRUST DATED APRIL 15, 2010

CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)

(a)  ☐        (b)  ☐

SEC USE ONLY

SOURCE OF FUNDS (see instructions)

PF

CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e) (see instructions)  ☐

CITIZENSHIP OR PLACE OF
ORGANIZATION

USA

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

SOLE VOTING POWER

2,143,572

SHARED VOTING POWER

0

SOLE DISPOSITIVE POWER

2,143,572

SHARED DISPOSITIVE POWER

0

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

2,143,572 (1)(2)

CHECK IF THE AGGREGATE AMOUNT IN ROW
(11) EXCLUDES CERTAIN SHARES (see instructions)  ☐

PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)

4.3% (1)(2)(3)

TYPE OF REPORTING PERSON (see
instructions)

OO