0000899243-16-034850.txt : 20161202
0000899243-16-034850.hdr.sgml : 20161202
20161202170053
ACCESSION NUMBER: 0000899243-16-034850
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161130
FILED AS OF DATE: 20161202
DATE AS OF CHANGE: 20161202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HISTOGENICS CORP
CENTRAL INDEX KEY: 0001372299
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 830 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-457-7900
MAIL ADDRESS:
STREET 1: 830 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RAKIN KEVIN
CENTRAL INDEX KEY: 0001184421
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36751
FILM NUMBER: 162031788
MAIL ADDRESS:
STREET 1: 36 CHURCH LANE
CITY: WESTPORT
STATE: CT
ZIP: 06880
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-30
0
0001372299
HISTOGENICS CORP
HSGX
0001184421
RAKIN KEVIN
C/O HISTOGENICS CORPORATION
830 WINTER STREET. 3RD FLOOR
WALTHAM
MA
02451
1
0
0
0
Common Stock
2016-11-30
4
C
0
26699
A
112499
I
See Footnote
Common Stock
2016-11-30
4
C
0
26699
A
139198
I
See Footnote
Common Stock
2016-11-30
4
C
0
88998
A
228196
I
See Footnote
Series A Convertible Preferred Stock
2016-11-30
4
C
0
60.0728
0.00
D
Common Stock
26699
0
I
See Footnote
Series A Convertible Preferred Stock
2016-11-30
4
C
0
60.0728
0.00
D
Common Stock
26699
0
I
See Footnote
Series A Convertible Preferred Stock
2016-11-30
4
C
0
200.2455
0.00
D
Common Stock
88998
0
I
See Footnote
All outstanding shares of the Issuer's Series A Convertible Preferred Stock converted on a 1:444.444444 basis into shares of the Issuer's Common Stock. These shares have no expiration date.
The reportable securities are owned by the Alison N Hoffman and Kevin L Rakin Irrevocable Trust For Sarah Hoffman Rakin. The Reporting Person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that he is the beneficial owner of such shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or for any other purpose, except to the extent of his pecuniary interest therein.
The reportable securities are owned by the Alison N Hoffman and Kevin L Rakin Irrevocable Trust For Julia Hoffman Rakin. The Reporting Person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that he is the beneficial owner of such shares for purposes of Section 16 of the Exchange Act or for any other purpose, except to the extent of his pecuniary interest therein.
The reportable securities are owned by the Kevin L Rakin Irrevocable Trust. The Reporting Person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that he is the beneficial owner of such shares for purposes of Section 16 of the Exchange Act or for any other purpose, except to the extent of his pecuniary interest therein.
/s/Kevin Rakin
2016-12-02