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Penumbra Inc Director's Dealing 2015

Sep 17, 2015

30612_dirs_2015-09-17_6daf44ea-b11e-4087-af86-1a7511dbd564.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Penumbra Inc (PEN)
CIK: 0001321732
Period of Report: 2015-09-17

Reporting Person: Evans Robert D. (EVP, Gen. Counsel & Secretary)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 171296 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series B Preferred Stock $ Common Stock (1000) Direct
Series B Preferred Stock $ Common Stock (45937) Indirect
Series C Preferred Stock $ Common Stock (47022) Indirect
Series D Preferred Stock $ Common Stock (27041) Indirect
Stock Option (right to buy) $22.04 2025-08-11 Common Stock (50000) Direct

Footnotes

F1: A portion of these shares is subject to vesting.

F2: Shares are held by The 2010 Robert D. Evans and Norma J. Evans Revocable Trust u/d/t dated November 11, 2010.

F3: The securities are preferred stock of the Issuer. These securities are immediately convertible upon the closing of the Issuer's initial public offering and do not have an expiration date.

F4: Each share of preferred stock will automatically convert on a 1-for-1 basis into common stock upon the closing of the Issuer's initial public offering.

F5: The original option grant vests over four years, with 25% of the shares vesting on August 1, 2016 and 1/48 vesting each month thereafter.