0001104659-18-044168.txt : 20180706 0001104659-18-044168.hdr.sgml : 20180706 20180706163132 ACCESSION NUMBER: 0001104659-18-044168 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180703 FILED AS OF DATE: 20180706 DATE AS OF CHANGE: 20180706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS THOMAS PHD CENTRAL INDEX KEY: 0001234366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35268 FILM NUMBER: 18942799 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY PHARMACEUTICALS, INC. CENTRAL INDEX KEY: 0001347613 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 330505269 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 420 LEXINGTON AVENUE STREET 2: SUITE 2012 CITY: NEW YORK STATE: NY ZIP: 10170 BUSINESS PHONE: 212-297-0020 MAIL ADDRESS: STREET 1: 420 LEXINGTON AVENUE STREET 2: SUITE 2012 CITY: NEW YORK STATE: NY ZIP: 10170 FORMER COMPANY: FORMER CONFORMED NAME: Synergy Pharmaceuticals, Inc. DATE OF NAME CHANGE: 20080812 FORMER COMPANY: FORMER CONFORMED NAME: PAWFECT FOODS INC DATE OF NAME CHANGE: 20051221 4 1 a4.xml 4 X0306 4 2018-07-03 0 0001347613 SYNERGY PHARMACEUTICALS, INC. SGYP 0001234366 ADAMS THOMAS PHD C/O SYNERGY PHARMACEUTICALS INC. 420 LEXINGTON AVENUE, SUITE 2012 NEW YORK NY 10170 1 0 0 0 Common Stock 2018-07-03 4 M 0 100023 0.50 A 100023 D Common Stock 2018-07-03 4 F 0 27785 0.00 D 72238 D Stock Options 0.50 2018-07-03 4 M 0 100023 0 D 2018-07-09 Common Stock 100023 434223 D Represents the number of shares forfeited to the Company in payment of the exercise price of the stock options. Options became exercisable on 7/9/2009 and 7/9/2010. /s/ Thomas Adams 2018-07-06