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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 1/23/20 |
| Not Subject to Section 16? No |
| Issuer: |
| Issuer CIK: 1114995 |
| Issuer Name: IMPINJ INC |
| Issuer Trading Symbol: PI |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1578147 |
| | Owner Name: DOSSETT JEFFREY |
| Reporting Owner Address: |
| | Owner Street 1: 400 FAIRVIEW AVE N. SUITE 1200 |
| | Owner Street 2: |
| | Owner City: SEATTLE |
| | Owner State: WA |
| | Owner ZIP Code: 98109 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: EVP, Sales & Marketing |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: COMMON STOCK |
| | Transaction Date: |
| | | Value: 1/23/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: M |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 250 |
| | | Transaction Price Per Share: |
| Value: 17.33 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 8,250 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: COMMON STOCK |
| | Transaction Date: |
| | | Value: 1/23/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: S |
| | | Equity Swap Involved? No |
| | | Footnote ID: F2 |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 250 |
| | | Transaction Price Per Share: |
| Value: 34.95 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 8,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: STOCK OPTION (RTB) |
| | Conversion or Exercise Price: |
| | | Value: 17.33 |
| | Transaction Date: |
| | | Value: 1/23/20 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: M |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 250 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 5/16/28 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: COMMON STOCK |
| | | Underlying Security Shares: |
| Value: 250 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 71,721 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: One-fourth of the shares subject to the option vested on November 16, 2018, and 1/48th of the shares subject to the option shall vest on the 3rd day of each month thereafter. |
| Footnote - F2: The sales reported by Mr. Dossett were effected pursuant to a Rule 10b5-1 trading plan adopted on September 6, 2019. |
| Owner Signature: |
| Signature Name: Yukio Morikubo |
| Signature Date: 1/24/20 |
