0000899243-21-003337.txt : 20210126
0000899243-21-003337.hdr.sgml : 20210126
20210126181859
ACCESSION NUMBER: 0000899243-21-003337
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210126
DATE AS OF CHANGE: 20210126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOLDSMITH MARK A
CENTRAL INDEX KEY: 0001246842
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38584
FILM NUMBER: 21555780
MAIL ADDRESS:
STREET 1: 925 PAGE MILL ROAD
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CONSTELLATION PHARMACEUTICALS INC
CENTRAL INDEX KEY: 0001434418
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 215 FIRST STREET
STREET 2: SUITE 200
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
BUSINESS PHONE: 617-714-0555
MAIL ADDRESS:
STREET 1: 215 FIRST STREET
STREET 2: SUITE 200
CITY: CAMBRIDGE
STATE: MA
ZIP: 02142
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2020-12-31
0
0
0
0001434418
CONSTELLATION PHARMACEUTICALS INC
CNST
0001246842
GOLDSMITH MARK A
C/O CONSTELLATION PHARMACEUTICALS, INC.
215 FIRST STREET, SUITE 200
CAMBRIDGE
MA
02142
1
0
0
0
COMMON STOCK
2020-10-27
5
G
0
2000
0.00
D
139043
I
Owned by Trusts for which Mark A. Goldsmith is a Trustee
COMMON STOCK
2020-10-27
5
G
0
2000
0.00
A
139043
I
Owned by Trusts for which Mark A. Goldsmith is a Trustee
Consists of 2,000 shares transferred from The Goldsmith Midler 2002 Revocable Living Trust, of which Dr. Goldsmith is a trustee, to The Goldsmith Children 2011 Irrevocable Educational Trust, of which Dr. Goldsmith is a trustee.
/s/ Karen Valentine, as attorney-in-fact for Mark A. Goldsmith
2021-01-26