0001104659-20-038937.txt : 20200326 0001104659-20-038937.hdr.sgml : 20200326 20200326180603 ACCESSION NUMBER: 0001104659-20-038937 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200324 FILED AS OF DATE: 20200326 DATE AS OF CHANGE: 20200326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAKOUTIS PETER M CENTRAL INDEX KEY: 0001257798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35853 FILM NUMBER: 20747303 MAIL ADDRESS: STREET 1: C/O DUSA PHARMACEUTICALS INC STREET 2: 25 UPTON DR CITY: WILMINGTON STATE: MA ZIP: 01887 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Biostage, Inc. CENTRAL INDEX KEY: 0001563665 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 455210462 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 84 OCTOBER HILL ROAD STREET 2: SUITE 11 CITY: HOLLISTON STATE: MA ZIP: 01746 BUSINESS PHONE: (774) 233-7300 MAIL ADDRESS: STREET 1: 84 OCTOBER HILL ROAD STREET 2: SUITE 11 CITY: HOLLISTON STATE: MA ZIP: 01746 FORMER COMPANY: FORMER CONFORMED NAME: Harvard Apparatus Regenerative Technology, Inc. DATE OF NAME CHANGE: 20121204 4 1 tm2013962d2_4.xml OWNERSHIP DOCUMENT X0306 4 2020-03-24 0 0001563665 Biostage, Inc. BSTG 0001257798 CHAKOUTIS PETER M C/O BIOSTAGE, INC. 84 OCTOBER HILL ROAD, SUITE 11 HOLLISTON MA 01746 0 1 0 0 Vice President of Finance Stock Option (right to buy) 4.00 2020-03-24 4 A 0 40000 0 A 2030-03-24 Common Stock, par value $0.01 per share 40000 40000 D This stock option vests as follows: (i) one quarter upon timely filing of the Company's Quarterly Report on Form 10-Q for the fiscal quarter ending March 31, 2020, and (ii) the remainder in twelve (12) equal quarterly increments on the first day of each calendar quarter starting with the first calendar quarter following the timely filing of such Form 10-Q. This form has been signed under power of attorney. /s/ Chad J. Porter, by power of attorney 2020-03-26