0001104659-20-053775.txt : 20200429 0001104659-20-053775.hdr.sgml : 20200429 20200429210443 ACCESSION NUMBER: 0001104659-20-053775 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200428 FILED AS OF DATE: 20200429 DATE AS OF CHANGE: 20200429 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: 20832824 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 tm2018172d1_4.xml OWNERSHIP DOCUMENT X0306 4 2020-04-28 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 2020-04-28 4 A 0 10000 0.00 A 19795 D Common Stock 2020-04-28 4 F 0 3157 3.05 D 16638 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. /s/ Chad J. Porter, by power of attorney 2020-04-29