0000921895-17-002933.txt : 20171220
0000921895-17-002933.hdr.sgml : 20171220
20171220180755
ACCESSION NUMBER: 0000921895-17-002933
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171218
FILED AS OF DATE: 20171220
DATE AS OF CHANGE: 20171220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DUGGAN ROBERT W
CENTRAL INDEX KEY: 0001055919
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36323
FILM NUMBER: 171267660
MAIL ADDRESS:
STREET 1: 611 SOUTH FORT HARRISON AVE
STREET 2: SUITE 306
CITY: CLEARWATER
STATE: FL
ZIP: 33756
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Achaogen Inc
CENTRAL INDEX KEY: 0001301501
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 680533693
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7000 SHORELINE COURT
STREET 2: SUITE 371
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-800-3636
MAIL ADDRESS:
STREET 1: 7000 SHORELINE COURT
STREET 2: SUITE 371
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
4
1
form406922005_12202017.xml
OWNERSHIP DOCUMENT
X0306
4
2017-12-18
0
0001301501
Achaogen Inc
AKAO
0001055919
DUGGAN ROBERT W
611 SOUTH FORT HARRISON AVE
SUITE 306
CLEARWATER
FL
33756
0
0
1
0
Common Stock, par value $0.001 per share
2017-12-18
4
P
0
95012
11.1301
A
5602752
D
Common Stock, par value $0.001 per share
72170
I
See Footnote
Shares are held by Genius Inc., of which the Reporting Person is the sole shareholder.
Robert W. Duggan, By: /s/ Robert W. Duggan
2017-12-20