Form D
View Original Filing
Notice of Exempt Offering of Securities
Item 1. Issuer's Identity
Name of Issuer:
IMPINJ INC
Jurisdiction of Incorporation/Organization
DE
Year of Incorporation/Organization
Over Five Years Ago
Item 2 Issuer Principal Place of Business and Contact Information
701 NORTH 34TH STREET
SUITE 300
SEATTLE, WA 98103
Phone Number:
subscription required
Item 3. Related Persons
Name
WILLIAM COLLERAN
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
CARVER MEAD
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
CHRISTOPHER DIORIO
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
Item 3. Related Persons
Name
TOM ALBERG
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
CLINTON BYBEE
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
STEPHEN ARNOLD
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
BRADLEY FELD
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JAMES THOMPSON
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
ALBERT YU
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
EVAN FEIN
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
KERRY KRAUSE
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
RON PAULSEN
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
JOHN QUIST
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
STEVE VOIT
Address
subscription required
Relationship(s)
Clarification of Response
Item 4. Industry Group
OTHER TECHNOLOGY
Item 5. Issuer Size
Revenue Range (for issuer not specifying "hedge" or "other investment" fund in Item 4 above)
DECLINE TO DISCLOSE
Item 6. Federal Exemptions and Exclusions Claimed
Item 7. Type of Filing
New Notice
Date of First Sale in this Offering:
06/30/2010
Item 8. Duration of Offering
Does the issuer intend this offering to last more than one year?
No
Item 9. Type(s) of Securities Offered
- Debt
- Option, Warrant or Other Right to Acquire Another Security
- Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security
Item 10. Business Combination Transaction
Is this offering being made in connection with a business combination
transaction, such as a merger, acquisition or exchange offer?
No
Clarification of Response
Item 11. Minimum Investment
Minimum Investment accepted from any outside investor
0
Item 13. Offering and Sales Amounts
Total Offering Amount
7000000
Total Amount Sold
5781952
Total Remaining to be Sold
1218048
Clarification of Response
Item 14. Investors
Securities in the offering have been or may be sold to persons
who do not qualify as accredited investors,
Number of non-accredited investors who already have invested in the offering:
Total number of investors who already have invested in the offering:
35
Item 15. Sales Commissions and Finders' Fees Expenses
Sales Commissions:
0.0
Finders' Fees
0.0
Clarification of Response
Item 16. Use of Proceeds
Provide the amount of the gross proceeds of the offering
that has been or is proposed to be used for payments to any of the persons required
to be named as executive officers,directors or promoters in response to Item 3 above.
0.0
Clarification of Response
Signature and Submission
Issuer Name
IMPINJ INC
Issuer Signature
/S/EVAN FEIN
Signer Name
EVAN FEIN
Signer Title
SENIOR VICE PRESIDENT, FINANCE ADMINISTRATION
Signature Date
07/07/2010