3   0001214659-17-001219

Ownership: Initial statement of beneficial ownership of securities. Insider trading ( Directors, Officers, Significant Shareholders )

filing date
Feb. 17, 2017
period ending
Feb. 1, 2017
date of filing date change
Feb. 17, 2017
Signed By
Nooshin Hussainy as attorney-in-fact for Erin Morisey
accession number
0001214659-17-001219
type
3
public document count
2
Key documents and exhibits
Link: Type Id filename
PRIMARY DOCUMENT 3 1 marketforms-37990.xml
POA DOCUMENT EX-24 2 poa.htm
Issuer:
OBALON THERAPEUTICS INC [OBLN]
Reporting Owner:
Morisey Erin Officer, VP Strategic Partnerships,
Date of Event Req Stmt
2017-02-01
Type Title Conv/Exer price Trans. date Deemed Exe date Trans Form Type Trans Code Eqty swap? Footnote id Trans timelines # Shares Value Total Value Price / share Acq or Disp Date exercisable Expiration date # Owned post trans Value Owned post trans Underlying security title # Underlying securities Value underlying securities Direct or Indirect own Nature indirect own
Derriv. holdingStock Option (right to buy)2.822026-07-27Common Stock17586D
Derriv. holdingStock Option (right to buy)8.742026-11-09Common Stock5000D
F1
This option vests as to 25% of the total shares on July 25, 2017, then 2.083% monthly, with 100% of the total shares vested on July 25, 2020, subject to the reporting person's provision of service to the Issuer on each vesting date.
F2
This option vests as to 25% of the total shares on July 25, 2017, then 1.5625% monthly, with 100% of the total shares vested on July 25, 2021, subject to the reporting person's provision of service to the Issuer on each vesting date.
Signed by
[ /s/ Nooshin Hussainy as attorney-in-fact for Erin Morisey ] on 2017-02-17
Type Filing Company SIC Rel IRS # State of INC FY End Mailing address Former Filing Vals
issuer
OBALON THERAPEUTICS INC
Cik: 0001427570
5421 AVENIDA ENCINAS
SUITE F
San Diego,  CA,  92008
  USA
3841 -
Surgical & Medical Instruments & Apparatus
USA [ DE ] 1231
5421 AVENIDA ENCINAS
SUITE F
San Diego,  CA,  92008
  USA
Type Filing Reporting Owner Company SIC Rel IRS # State of INC FY End Mailing address Former Filing Vals
reporting owner
Morisey Erin ( CIK: 0001698303 )

Cik:

712 BANCROFT ROAD, #119
WALNUT CREEK,  CA,  94598
  USA
form type3
act34
file number001-37897
film number17620677