0001626199-23-000016.txt : 20230105 0001626199-23-000016.hdr.sgml : 20230105 20230105185622 ACCESSION NUMBER: 0001626199-23-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230103 FILED AS OF DATE: 20230105 DATE AS OF CHANGE: 20230105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONWAY ROBERT E CENTRAL INDEX KEY: 0001184334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37449 FILM NUMBER: 23513025 MAIL ADDRESS: STREET 1: C/O ARCA BIOPHARMA, INC STREET 2: 8001 ARISTA PLACE, STE 430 CITY: BROOMFIELD STATE: CO ZIP: 80021 FORMER NAME: FORMER CONFORMED NAME: CONWAY ROBERT DATE OF NAME CHANGE: 20020829 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALPINE IMMUNE SCIENCES, INC. CENTRAL INDEX KEY: 0001626199 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 208969493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 188 EAST BLAINE ST., SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98102 BUSINESS PHONE: 206-788-4545 MAIL ADDRESS: STREET 1: 188 EAST BLAINE ST., SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98102 FORMER COMPANY: FORMER CONFORMED NAME: Nivalis Therapeutics, Inc. DATE OF NAME CHANGE: 20150211 FORMER COMPANY: FORMER CONFORMED NAME: N30 Pharmaceuticals, Inc. DATE OF NAME CHANGE: 20141121 4 1 wf-form4_167296296563582.xml FORM 4 X0306 4 2023-01-03 0 0001626199 ALPINE IMMUNE SCIENCES, INC. ALPN 0001184334 CONWAY ROBERT E C/O ALPINE IMMUNE SCIENCES, INC. 188 EAST BLAINE STREET, SUITE 200 SEATTLE WA 98102 1 0 0 0 Stock Option (Right to buy) 7.43 2023-01-03 4 A 0 10000 0 A 2033-01-02 Common Stock 10000.0 10000 D The exercise price is equal to the closing price per share of Common Stock as reported on the Nasdaq Global Market on the date of grant. 1/12th of the shares subject to the option become vested and exercisable on February 3, 2023 and 1/12 of the shares subject to the option shall vest monthly thereafter. /s/ James Paul Rickey, attorney-in-fact 2023-01-05