0001209191-14-011634.txt : 20140219
0001209191-14-011634.hdr.sgml : 20140219
20140219130706
ACCESSION NUMBER: 0001209191-14-011634
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140219
FILED AS OF DATE: 20140219
DATE AS OF CHANGE: 20140219
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CONCERT PHARMACEUTICALS, INC.
CENTRAL INDEX KEY: 0001367920
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
BUSINESS ADDRESS:
STREET 1: 99 HAYDEN AVENUE
STREET 2: SUITE 500
CITY: LEXINGTON
STATE: MA
ZIP: 02421
BUSINESS PHONE: 781-860-0045
MAIL ADDRESS:
STREET 1: 99 HAYDEN AVENUE
STREET 2: SUITE 500
CITY: LEXINGTON
STATE: MA
ZIP: 02421
FORMER COMPANY:
FORMER CONFORMED NAME: CONCERT PHARMACEUTICALS INC
DATE OF NAME CHANGE: 20060628
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ALDRICH RICHARD
CENTRAL INDEX KEY: 0001185039
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36310
FILM NUMBER: 14624889
MAIL ADDRESS:
STREET 1: 1365 MAIN STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-02-19
0
0001367920
CONCERT PHARMACEUTICALS, INC.
CNCE
0001185039
ALDRICH RICHARD
C/O CONCERT PHARMACEUTICALS, INC.
99 HAYDEN AVENUE, SUITE 500
LEXINGTON
MA
02421
1
0
1
0
Common Stock
2014-02-19
4
C
0
53097
A
53097
I
By RA Capital Associates, Inc.
Common Stock
2014-02-19
4
C
0
8849
A
61946
I
By RA Capital Associates, Inc.
Common Stock
286963
D
Common Stock
102417
I
By Richard H. Aldrich 2011 GRAT
Series A Convertible Preferred Stock
2014-02-19
4
C
0
300000
0.00
D
Common Stock
53097
0
I
By RA Capital Associates, Inc.
Series B Convertible Preferred Stock
2014-02-19
4
C
0
50000
0.00
D
Common Stock
8849
0
I
By RA Capital Associates, Inc.
The Series A and Series B Convertible Preferred Stock converted into Common Stock on a 1-for-5.65 basis upon the closing of the issuer's initial public offering without payment of consideration.
Shares held by RA Capital Associates, Inc. Mr. Aldrich is the sole stockholder of the RA Capital Associates, Inc. Mr. Aldrich disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
Shares held by Richard H. Aldrich 2011 GRAT. Mr. Aldrich is the sole trustee of the Richard H. Aldrich 2011 GRAT. Mr. Aldrich disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
Not applicable.
/s/ Richard H. Aldrich
2014-02-19