0000904454-17-000567.txt : 20170814 0000904454-17-000567.hdr.sgml : 20170814 20170814164704 ACCESSION NUMBER: 0000904454-17-000567 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170810 FILED AS OF DATE: 20170814 DATE AS OF CHANGE: 20170814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VITULLO NICOLE CENTRAL INDEX KEY: 0001196863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33095 FILM NUMBER: 171031018 MAIL ADDRESS: STREET 1: 3030 SCIENCE PARK ROAD CITY: SAN DIEGO STATE: CA ZIP: 92121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACHILLION PHARMACEUTICALS INC CENTRAL INDEX KEY: 0001070336 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 300 GEORGE STREET CITY: NEW HAVEN STATE: CT ZIP: 06511 BUSINESS PHONE: 203-624-7000 MAIL ADDRESS: STREET 1: 300 GEORGE STREET CITY: NEW HAVEN STATE: CT ZIP: 06511 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-08-10 0001070336 ACHILLION PHARMACEUTICALS INC ACHN 0001196863 VITULLO NICOLE C/O DOMAIN ASSOCIATES, LLC ONE PALMER SQUARE PRINCETON NJ 08542 1 0 0 0 Common Stock 2017-08-10 4 M 0 2790539 3.1125 A 5108336 I By Domain Partners VIII, L.P. Common Stock 2017-08-10 4 F 0 1714954 5.06 D 3393382 I By Domain Partners VIII, L.P. Common Stock 2017-08-10 4 M 0 20706 3.1125 A 37885 I By DP VIII Associates, L.P. Common Stock 2017-08-10 4 F 0 12726 5.06 D 25159 I By DP VIII Associates, L.P. Common Stock 25000 I By Domain Associates, LLC Common Stock 31431 D Warrants to Purchase Common Stock 3.1125 2017-08-10 4 M 0 2790539 0 D 2010-08-20 2017-08-20 Common Stock 2790539 0 I By Domain Partners VIII, L.P. Warrants to Purchase Common Stock 3.1125 2017-08-10 4 M 0 20706 0 D 2010-08-20 2017-08-20 Common Stock 20706 0 I By DP VIII Associates, L.P. The Reporting Person is a Managing Member of Domain Associates, LLC and a Managing Member of One Palmer Square Associates VIII, LLC, which is the sole general partner of Domain Partners VIII, L.P. and DP VIII Associates, L.P. Pursuant to Instruction 4(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed her pecuniary interest therein and/or that are not actually distributed to her. /s/ Lisa A. Kraeutler, Attorney-in-Fact 2017-08-14