0000921895-18-003263.txt : 20181211
0000921895-18-003263.hdr.sgml : 20181211
20181211174425
ACCESSION NUMBER: 0000921895-18-003263
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181207
FILED AS OF DATE: 20181211
DATE AS OF CHANGE: 20181211
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: 181229614
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_12112018.xml
OWNERSHIP DOCUMENT
X0306
4
2018-12-07
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
2018-12-07
4
P
0
22431
1.3996
A
8443961
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
2018-12-11