0001209191-21-038379.txt : 20210604 0001209191-21-038379.hdr.sgml : 20210604 20210604183312 ACCESSION NUMBER: 0001209191-21-038379 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAFFER CHRISTY L CENTRAL INDEX KEY: 0001145929 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39538 FILM NUMBER: 21997766 MAIL ADDRESS: STREET 1: INSPIRE PHARMACEUTICALS, INC., STREET 2: 4222 EMPEROR BLVD., STE. 470 CITY: DURHAM STATE: NC ZIP: 27703-8466 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRAYBUG VISION, INC. CENTRAL INDEX KEY: 0001534133 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 452120079 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 SHORELINE DRIVE, SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 650-487-2800 MAIL ADDRESS: STREET 1: 275 SHORELINE DRIVE, SUITE 450 CITY: REDWOOD CITY STATE: CA ZIP: 94065 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG, Inc. DATE OF NAME CHANGE: 20150303 FORMER COMPANY: FORMER CONFORMED NAME: GRAYBUG LLC DATE OF NAME CHANGE: 20111102 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-02 0 0001534133 GRAYBUG VISION, INC. GRAY 0001145929 SHAFFER CHRISTY L C/O GRAYBUG VISION, INC. 275 SHORELINE DRIVE, SUITE 450 REDWOOD CITY CA 94065 1 0 0 0 Employee Stock Option (Right to Buy) 4.07 2021-06-02 4 A 0 12500 0.00 A 2031-06-01 Common Stock 12500 12500 D The option award will fully vest upon the earlier of 1) the Issuer's next annual stockholder meeting, or 2) June 2, 2022, subject to the Reporting Person's provision of service to the Issuer on each vesting date. /s/ Robert S. Breuil, Attorney-in-Fact 2021-06-04