0001415889-17-000978.txt : 20170614
0001415889-17-000978.hdr.sgml : 20170614
20170614160633
ACCESSION NUMBER: 0001415889-17-000978
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170612
FILED AS OF DATE: 20170614
DATE AS OF CHANGE: 20170614
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: 11535 SORRENTO VALLEY ROAD
STREET 2: SUITE 400
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: 8582599405
MAIL ADDRESS:
STREET 1: 11535 SORRENTO VALLEY ROAD
STREET 2: SUITE 400
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: Ravetch Jeffrey V.
CENTRAL INDEX KEY: 0001612051
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37861
FILM NUMBER: 17911229
MAIL ADDRESS:
STREET 1: 11588 SORRENTO VALLEY ROAD, SUITE 20
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
4
1
form4-06142017_010622.xml
X0306
4
2017-06-12
0001109196
MABVAX THERAPEUTICS HOLDINGS, INC.
MBVX
0001612051
Ravetch Jeffrey V.
C/O MABVAX THERAPEUTICS, INC.
11535 SORRENTO VALLEY RD., SUITE 400
SAN DIEGO
CA
92121
true
false
false
false
Option to Purchase Common Stock
1.57
2017-06-12
4
A
0
20000
1.57
A
2027-06-12
Common Stock
20000
20000
D
Automatic Annual Grant to Non-Employee Director pursuant to the Issuer's Non-Employee Director Compensation Policy.
Option vests and becomes exercisable one year after the date of grant, subject to recipient's continued service on the Company's Board of Directors.
/s/ Jeremy D. Glaser , Attorney-in-Fact
2017-06-14