Filing Details

Accession Number:
0001235802-18-000010
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-01-09 16:45:18
Reporting Period:
2017-11-04
Accepted Time:
2018-01-09 16:45:18
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1374128 Entellus Medical Inc ENTL Surgical & Medical Instruments & Apparatus (3841) 204627978
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1694558 P. Thomas Williamson 3600 Holly Lane North
Suite 40
Plymouth MN 55447
Vp, Commercial Operations No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, $0.001 Par Value Acquisiton 2017-11-04 10,000 $0.00 47,217 No 4 A Direct
Common Stock, $0.001 Par Value Disposition 2018-01-05 968 $24.01 46,467 No 4 S Direct
Common Stock, $0.001 Par Value Disposition 2018-01-08 1,481 $24.12 44,986 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 A Direct
No 4 S Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Non-Statutory Stock Option (right to buy) Acquisiton 2017-11-04 20,000 $0.00 20,000 $17.24
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
20,000 2027-11-04 No 4 A Direct
Footnotes
  1. These shares will be issued over time upon vesting pursuant to a restricted stock unit granted under the Entellus Medical, Inc. 2015 Incentive Award Plan.
  2. Includes 35,886 shares that will be issued over time upon vesting pursuant to restricted stock units granted under the Entellus Medical, Inc. 2015 Incentive Award Plan and an aggregate of 446 shares acquired under the Entellus Medical, Inc. 2015 Employee Stock Purchase Plan on June 30, 2016, December 31, 2016 and June 30, 2017.
  3. These shares were sold under a pre-arranged sales instruction pursuant to Rule 10b5-1 under the Securities Exchange Act of 1934, as amended, to cover the estimated tax withholding obligations in connection with the vesting of restricted stock units.
  4. Includes 27,943 shares will be issued over time upon vesting pursuant to restricted stock units granted under the Entellus Medical, Inc. 2015 Incentive Award Plan and an aggregate of 664 shares acquired under the Entellus Medical, Inc. 2015 Employee Stock Purchase Plan on June 30, 2016, December 31, 2016, June 30, 2017 and December 31, 2017.
  5. This option vests with respect to 1/48th of the shares on December 1, 2017 and on each monthly anniversary of November 1, 2017 thereafter, subject to such Reporting Person's continued employment with Entellus Medical, Inc.