0000899243-18-013557.txt : 20180521
0000899243-18-013557.hdr.sgml : 20180521
20180521162726
ACCESSION NUMBER: 0000899243-18-013557
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180517
FILED AS OF DATE: 20180521
DATE AS OF CHANGE: 20180521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ross Michael Jay
CENTRAL INDEX KEY: 0001254452
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38219
FILM NUMBER: 18849965
MAIL ADDRESS:
STREET 1: C/O SV HEALTH INVESTORS, LLC
STREET 2: ONE BOSTON PLC, 201 WASHINGTON ST. #3900
CITY: BOSTON
STATE: MA
ZIP: 02108
FORMER NAME:
FORMER CONFORMED NAME: ROSS MICHAEL JAY
DATE OF NAME CHANGE: 20030715
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Deciphera Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001654151
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 200299725
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 TOTTEN POND ROAD
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-209-6400
MAIL ADDRESS:
STREET 1: 500 TOTTEN POND ROAD
CITY: WALTHAM
STATE: MA
ZIP: 02451
FORMER COMPANY:
FORMER CONFORMED NAME: Deciphera Pharmaceuticals, LLC
DATE OF NAME CHANGE: 20150928
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-05-17
0
0001654151
Deciphera Pharmaceuticals, Inc.
DCPH
0001254452
Ross Michael Jay
C/O DECIPHERA PHARMACEUTICALS, INC.
500 TOTTEN POND ROAD
WALTHAM
MA
02451
1
0
0
0
Stock Option (Right to Buy)
25.73
2018-05-17
4
A
0
12000
0.00
A
2028-05-16
Common Stock
12000
12000
D
This stock option award was issued pursuant to Issuer's 2017 Stock Option and Incentive Plan and will vest in full on May 17, 2019, subject to the Reporting Person's continuous service with the Issuer.
/s/ Amanda Stastny, Attorney-in-Fact
2018-05-21