0001104659-18-040813.txt : 20180618 0001104659-18-040813.hdr.sgml : 20180618 20180618163042 ACCESSION NUMBER: 0001104659-18-040813 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180615 FILED AS OF DATE: 20180618 DATE AS OF CHANGE: 20180618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOB GARY S CENTRAL INDEX KEY: 0001266802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35268 FILM NUMBER: 18905000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY PHARMACEUTICALS, INC. CENTRAL INDEX KEY: 0001347613 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 330505269 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 420 LEXINGTON AVENUE STREET 2: SUITE 2012 CITY: NEW YORK STATE: NY ZIP: 10170 BUSINESS PHONE: 212-297-0020 MAIL ADDRESS: STREET 1: 420 LEXINGTON AVENUE STREET 2: SUITE 2012 CITY: NEW YORK STATE: NY ZIP: 10170 FORMER COMPANY: FORMER CONFORMED NAME: Synergy Pharmaceuticals, Inc. DATE OF NAME CHANGE: 20080812 FORMER COMPANY: FORMER CONFORMED NAME: PAWFECT FOODS INC DATE OF NAME CHANGE: 20051221 4 1 a4.xml 4 X0306 4 2018-06-15 0 0001347613 SYNERGY PHARMACEUTICALS, INC. SGYP 0001266802 JACOB GARY S C/O SYNERGY PHARMACEUTICALS INC. 420 LEXINGTON AVENUE, SUITE 2012 NEW YORK NY 10170 1 1 0 0 Executive Chairman Common Stock 2018-06-15 4 M 0 474961 0.50 A 877640 D Common Stock 2018-06-15 4 F 0 131934 0.00 D 745706 D Common Stock 2018-06-15 4 F 0 150246 0.00 D 595460 D Stock Options 0.50 2018-06-15 4 M 0 474961 0.00 D 2018-07-03 Common Stock 474961 6513342 D Represents the number of shares forfeited to the Company in payment of the exercise price of the stock options. The reporting person is reporting the withholding by Synergy Pharmaceuticals Inc. of 150,246 shares of common stock to satisfy the reporting person's tax withholding obligations in connection with the exercise of the stock options on June 15, 2018. 158,320 options vested on 7/3/2009 and 7/3/2010 and 158,321 vested on 7/3/2011 /s/ Gary S. Jacob 2018-06-18