0000899243-16-017987.txt : 20160412 0000899243-16-017987.hdr.sgml : 20160412 20160412210027 ACCESSION NUMBER: 0000899243-16-017987 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160107 FILED AS OF DATE: 20160412 DATE AS OF CHANGE: 20160412 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ZAFGEN, INC. CENTRAL INDEX KEY: 0001374690 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 203857670 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 175 PORTLAND STREET STREET 2: 4TH FLOOR CITY: BOSTON STATE: MA ZIP: 02114 BUSINESS PHONE: 617-622-4003 MAIL ADDRESS: STREET 1: 175 PORTLAND STREET STREET 2: 4TH FLOOR CITY: BOSTON STATE: MA ZIP: 02114 FORMER COMPANY: FORMER CONFORMED NAME: ZAFGEN INC DATE OF NAME CHANGE: 20060906 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEREZ ROBERT J CENTRAL INDEX KEY: 0001263230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36510 FILM NUMBER: 161568258 MAIL ADDRESS: STREET 1: 65 HAYDEN AVENUE CITY: LEXINGTON STATE: MA ZIP: 02421 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-01-07 0 0001374690 ZAFGEN, INC. ZFGN 0001263230 PEREZ ROBERT J C/O ZAFGEN, INC., 175 PORTLAND STREET BOSTON MA 02114 1 0 0 0 Common Stock 2016-01-07 4 A 0 5564 6.29 A 5564 I See note Common Stock 899 D The Common Stock was issued pursuant to a certain Consulting Agreement by and between the Issuer and Vineyard Sound Advisors, LLC ("Vineyard"). Reporting Person is the sole member of Vineyard. These securities are held directly by Vineyard, of which Reporting Person is the sole member. /s/ Laurie Burlingame, Attorney-in-Fact 2016-04-12