0000921895-18-003165.txt : 20181127 0000921895-18-003165.hdr.sgml : 20181127 20181127172223 ACCESSION NUMBER: 0000921895-18-003165 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181123 FILED AS OF DATE: 20181127 DATE AS OF CHANGE: 20181127 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: 181203689 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: 1 TOWER PLACE STREET 2: SUITE 300 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-800-3636 MAIL ADDRESS: STREET 1: 1 TOWER PLACE STREET 2: SUITE 300 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: Achaogen Inc DATE OF NAME CHANGE: 20040825 4 1 form406922005_11272018.xml OWNERSHIP DOCUMENT X0306 4 2018-11-23 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 2018-11-23 4 P 0 80175 1.8914 A 8343945 D Common Stock, par value $0.001 per share 2018-11-27 4 P 0 77585 1.6751 A 8421530 D Common Stock, par value $0.001 per share 30000 I See Footnote Common Stock, par value $0.001 per share 100255 I See Footnote Common Stock, par value $0.001 per share 72170 I See Footnote Shares held by Blaze-On Corporation, of which the Reporting Person is the sole officer and director. Shares held by Robert W. Duggan Foundation, of which the Reporting Person is the President. Shares are held by Genius Inc., of which the Reporting Person is the sole shareholder. Robert W. Duggan, By: /s/ Robert W. Duggan 2018-11-27