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