0001209191-15-032973.txt : 20150407 0001209191-15-032973.hdr.sgml : 20150407 20150407203612 ACCESSION NUMBER: 0001209191-15-032973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150404 FILED AS OF DATE: 20150407 DATE AS OF CHANGE: 20150407 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MABVAX THERAPEUTICS HOLDINGS, INC. CENTRAL INDEX KEY: 0001109196 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 930987903 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11588 SORRENTO VALLEY ROAD STREET 2: SUITE 20 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8582599405 MAIL ADDRESS: STREET 1: 11588 SORRENTO VALLEY ROAD STREET 2: SUITE 20 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: TELIK INC DATE OF NAME CHANGE: 20000313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Livingston Philip O. CENTRAL INDEX KEY: 0001612050 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31265 FILM NUMBER: 15757817 MAIL ADDRESS: STREET 1: 11588 SORRENTO VALLEY ROAD, SUITE 20 CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-04-04 0 0001109196 MABVAX THERAPEUTICS HOLDINGS, INC. MBVX 0001612050 Livingston Philip O. 11588 SORRENTO VALLEY ROAD, SUITE 20 SAN DIEGO CA 92121 1 1 0 0 Chief Science Officer Common Stock 2015-04-04 4 A 0 1000000 0.00 A 1307396 I See Footnote Common Stock 110147 D Common Stock 12734 I See Footnote The shares are directly held by RTP Venture Fund, LLC. Voting and dispositive decisions of RTP Venture Fund, LLC are made by Philip O. Livingston. Philip O. Livingston disclaims beneficial ownership as to the securities, except to the extent of his pecuniary interests therein. The shares are directly held by Joan L. Tweedy 2011 Revocable Trust. Philip O. Livingston is a trustee of the Joan L. Tweedy 2011 Revocable Trust. Philip O. Livingston disclaims beneficial ownership as to the securities, except to the extent of his pecuniary interests therein. /s/Gregory P. Hanson, Attorney-in-Fact 2015-04-07