0001104659-20-042283.txt : 20200402
0001104659-20-042283.hdr.sgml : 20200402
20200402113957
ACCESSION NUMBER: 0001104659-20-042283
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200327
FILED AS OF DATE: 20200402
DATE AS OF CHANGE: 20200402
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: 20767846
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
tm2014758d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-03-27
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
Common Stock
2020-03-27
4
A
0
15000
0
A
15000
D
Common Stock
2020-03-27
4
F
0
5205
4.00
D
9795
D
Represents a stock award required to be granted under the Offer Letter between the Issuer and the Reporting Person.
The shares were disposed to satisfy the Reporting Person's tax withholding obligation in connection with the stock award granted to the Reporting Person.
This form has been signed under power of attorney.
/s/ Chad J. Porter, by power of attorney
2020-04-02