0000899243-17-003460.txt : 20170210
0000899243-17-003460.hdr.sgml : 20170210
20170210161720
ACCESSION NUMBER: 0000899243-17-003460
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170210
DATE AS OF CHANGE: 20170210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Corvus Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001626971
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 464670809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 863 MITTEN ROAD
STREET 2: SUITE 102
CITY: BURLINGAME
STATE: CA
ZIP: 94010
BUSINESS PHONE: (650) 900-4520
MAIL ADDRESS:
STREET 1: 863 MITTEN ROAD
STREET 2: SUITE 102
CITY: BURLINGAME
STATE: CA
ZIP: 94010
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MILLER RICHARD A MD
CENTRAL INDEX KEY: 0001031847
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37719
FILM NUMBER: 17593511
MAIL ADDRESS:
STREET 1: PHARMACYCLICS INC
STREET 2: 995 E ARQUES AVE
CITY: SUNNYVALE
STATE: CA
ZIP: 94085-4521
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
0
0
1
0001626971
Corvus Pharmaceuticals, Inc.
CRVS
0001031847
MILLER RICHARD A MD
C/O CORVUS PHARMACEUTICALS, INC.
863 MITTEN ROAD, SUITE 102
BURLINGAME
CA
94010
1
1
0
0
President and CEO
Common Stock, $0.0001 par value
2016-10-28
4
G
0
50000
0.00
D
1027293
I
By Trust
Common Stock, $0.0001 par value
2016-10-28
4
G
0
50000
0.00
D
977293
I
By Trust
A portion of these shares is subject to a right of repurchase held by the Issuer.
These shares are held by Richard A. Miller and Sandra J. Horning, Trustees of the Miller-Horning Family Trust u/a/d January 25, 1985 (the "Miller-Horning Trust"). Dr. Miller has shared voting, investment and dispositive power over the shares held by the Miller Horning Trust.
/s/ Leiv Lea, as Attorney-in-Fact for Richard A. Miller
2017-02-10