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