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