0001144204-17-000264.txt : 20170103
0001144204-17-000264.hdr.sgml : 20170103
20170103173337
ACCESSION NUMBER: 0001144204-17-000264
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170103
DATE AS OF CHANGE: 20170103
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PHASERX, INC.
CENTRAL INDEX KEY: 0001429386
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 204690620
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 410 WEST HARRISON STREET
STREET 2: SUITE 300
CITY: SEATTLE
STATE: WA
ZIP: 98119
BUSINESS PHONE: 206-805-6300
MAIL ADDRESS:
STREET 1: 410 WEST HARRISON STREET
STREET 2: SUITE 300
CITY: SEATTLE
STATE: WA
ZIP: 98119
FORMER COMPANY:
FORMER CONFORMED NAME: PHASERX INC
DATE OF NAME CHANGE: 20080311
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BRANDT GORDON
CENTRAL INDEX KEY: 0001251781
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37772
FILM NUMBER: 17502922
MAIL ADDRESS:
STREET 1: 410 WEST HARRISON STREET
CITY: SEATTLE
STATE: WA
ZIP: 98119
4
1
v456129_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-31
0
0001429386
PHASERX, INC.
PZRX
0001251781
BRANDT GORDON
410 WEST HARRISON STREET, SUITE 300
SEATTLE
WA
98119
0
1
0
0
Chief Medical Officer
Employee Stock Option (right to buy)
1.45
2016-12-31
4
A
0
20000
0
A
2026-12-31
Common Stock
20000
20000
D
On December 31, 2016, the reporting person was granted an option to purchase shares of common stock. The option vests in 1/48th equal installments on each monthly anniversary of December 31, 2016, and subject to the reporting person's continued service to the Issuer.
/s/ Gordon Brandt
2017-01-03