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