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