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