Sec Form 4 Filing - MASTERS DENISE @ IMPINJ INC - 2018-09-12

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
MASTERS DENISE
2. Issuer Name and Ticker or Trading Symbol
IMPINJ INC [ PI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
VP Accounting
(Last) (First) (Middle)
400 FAIRVIEW AVE N. SUITE 1200
3. Date of Earliest Transaction (MM/DD/YY)
09/12/2018
(Street)
SEATTLE, WA98109
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK 09/12/2018 M 2,500 ( 1 ) A $ 0 2,500 D
COMMON STOCK 09/14/2018 F 532 ( 4 ) D $ 26.3626 1,968 D
COMMON STOCK ( 5 ) 02/20/2019 A V 1,292 A $ 16.5 3,260 D
COMMON STOCK 05/01/2019 S 1,292 D $ 28.75 1,968 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
RESTRICTED STOCK UNITS - 2017 ( 2 ) 09/12/2018 M 2,500 ( 3 ) ( 3 ) COMMON STOCK 2,500 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
MASTERS DENISE
400 FAIRVIEW AVE N. SUITE 1200
SEATTLE, WA98109
VP Accounting
Signatures
Yukio Morikubo, Attorney in fact for Denise Masters 05/10/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Restricted stock units convert to common stock on a one-to-one basis.
( 2 )Each restricted stock unit represents a contingent right to receive one share of Impinj common stock.
( 3 )On April 3, 2018, the reporting person was granted 2,500 restricted stock units (RSUs). These RSUs fully vested on September 12, 2018.
( 4 )The reported shares were withheld to cover the reporting person's tax liability in connection with the vesting of RSUs. These shares were not issued to or sold by the reporting person.
( 5 )The reporting person is voluntarily reporting the acquisition of shares of the Issuer's common stock pursuant to the Impinj Employee Stock Purchase Plan for the purchase period of October 22, 2018 through February 20, 2019. This transaction is exempt under Rule 16b-3(c).

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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