0000899243-21-031146.txt : 20210802 0000899243-21-031146.hdr.sgml : 20210802 20210802212547 ACCESSION NUMBER: 0000899243-21-031146 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210730 FILED AS OF DATE: 20210802 DATE AS OF CHANGE: 20210802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FIELDS HEIDI CENTRAL INDEX KEY: 0001014330 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40655 FILM NUMBER: 211137624 MAIL ADDRESS: STREET 1: 5301 STEVENS CREEK BLVD STREET 2: MS 1A-LC CITY: SANTA CLARA STATE: CA ZIP: 95051 FORMER NAME: FORMER CONFORMED NAME: FIELDS HEIDI KUNZ DATE OF NAME CHANGE: 20090415 FORMER NAME: FORMER CONFORMED NAME: KUNZ HEIDI DATE OF NAME CHANGE: 19960513 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Icosavax, Inc. CENTRAL INDEX KEY: 0001786255 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1616 EASTLAKE AVE E, SUITE 208 CITY: SEATTLE STATE: WA ZIP: 98102 BUSINESS PHONE: (858) 775-4523 MAIL ADDRESS: STREET 1: 1616 EASTLAKE AVE E, SUITE 208 CITY: SEATTLE STATE: WA ZIP: 98102 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-07-30 0 0001786255 Icosavax, Inc. ICVX 0001014330 FIELDS HEIDI C/O ICOSAVAX, INC. 1616 EASTLAKE AVENUE E., SUITE 208 SEATTLE WA 98102 1 0 0 0 Common Stock 2021-07-30 4 A 0 8750 15.00 A 8750 D Represents restricted stock units ("RSUs") granted on July 30, 2021, 1/3 of the total number of RSUs granted vest on each of the first three anniversaries of May 29, 2021, the vesting commencement date, subject to the reporting person's continued service on the applicable vesting date. Vesting of the RSUs shall accelerate upon a Change of Control (as defined in the Icosavax, Inc. 2021 Incentive Award Plan). Each RSU represents a contingent right to receive one share of common stock of the Issuer. /s/ Thomas Russo, Attorney-in-Fact 2021-08-02