0001209191-22-061177.txt : 20221214
0001209191-22-061177.hdr.sgml : 20221214
20221214160756
ACCESSION NUMBER: 0001209191-22-061177
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221212
FILED AS OF DATE: 20221214
DATE AS OF CHANGE: 20221214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BREUIL ROBERT S
CENTRAL INDEX KEY: 0001241009
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39538
FILM NUMBER: 221462197
MAIL ADDRESS:
STREET 1: 2071 STIERLIN COURT
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GRAYBUG VISION, INC.
CENTRAL INDEX KEY: 0001534133
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 452120079
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 203 REDWOOD SHORES PARKWAY, SUITE 620
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
BUSINESS PHONE: 650-487-2800
MAIL ADDRESS:
STREET 1: 203 REDWOOD SHORES PARKWAY, SUITE 620
CITY: REDWOOD CITY
STATE: CA
ZIP: 94065
FORMER COMPANY:
FORMER CONFORMED NAME: GRAYBUG, Inc.
DATE OF NAME CHANGE: 20150303
FORMER COMPANY:
FORMER CONFORMED NAME: GRAYBUG LLC
DATE OF NAME CHANGE: 20111102
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-12-12
0
0001534133
GRAYBUG VISION, INC.
GRAY
0001241009
BREUIL ROBERT S
C/O GRAYBUG VISION, INC.
203 REDWOOD SHORES PARKWAY, SUITE 620
REDWOOD CITY
CA
94065
0
1
0
0
Chief Financial Officer
Common Stock
2022-12-12
4
M
0
5000
A
88795
D
Common Stock
2022-12-12
4
F
0
1729
0.58
D
87066
D
Restricted Stock Units
2022-12-12
4
M
0
5000
0.00
D
Common Stock
5000
35000
D
Each RSU represents a contingent right to receive one share of the Issuer's common stock.
The RSUs vested as to 1/4 of the total shares on September 4, 2021, and 1/12 of the remaining shares shall vest quarterly thereafter such that the RSUs shall be fully vested on September 4, 2024, subject to the continued service of the Reporting Person to the Issuer through each vesting date.
The RSUs do not expire; they either vest or are canceled prior to vest date.
/s/ Frederic Guerard, as Attorney-in-Fact for Robert S. Breuil
2022-12-14