0001628280-16-016761.txt : 20160526
0001628280-16-016761.hdr.sgml : 20160526
20160526164949
ACCESSION NUMBER: 0001628280-16-016761
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160524
FILED AS OF DATE: 20160526
DATE AS OF CHANGE: 20160526
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VITAL THERAPIES INC
CENTRAL INDEX KEY: 0001280776
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15010 AVENUE OF SCIENCE
STREET 2: STE. 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
BUSINESS PHONE: 858-673-6840
MAIL ADDRESS:
STREET 1: 15010 AVENUE OF SCIENCE
STREET 2: STE. 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BIENAIME JEAN JACQUES
CENTRAL INDEX KEY: 0001221590
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36201
FILM NUMBER: 161678842
MAIL ADDRESS:
STREET 1: 925 PAGE MILL ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94304
4
1
wf-form4_146429577566396.xml
FORM 4
X0306
4
2016-05-24
0
0001280776
VITAL THERAPIES INC
VTL
0001221590
BIENAIME JEAN JACQUES
C/O VITAL THERAPIES, INC.
15010 AVENUE OF SCIENCE, SUITE 200
SAN DIEGO
CA
92128
1
0
0
0
Stock Option (right to buy)
8.17
2016-05-24
4
A
0
21599
0
A
2026-05-23
Common Stock
21599.0
21599
D
Subject to reporting person's continuing to be a Service Provider (as defined in the 2014 Equity Incentive Plan) through the vesting date, 100% of the shares subject to the option shall vest and become exercisable upon the earlier of the one (1) year anniversary from May 24, 2016 or the day prior to the Company's 2017 annual meeting of stockholders.
/s/ Michael V. Swanson, by power of attorney
2016-05-26