0000899243-16-034871.txt : 20161202 0000899243-16-034871.hdr.sgml : 20161202 20161202183822 ACCESSION NUMBER: 0000899243-16-034871 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161201 FILED AS OF DATE: 20161202 DATE AS OF CHANGE: 20161202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: APPLIED GENETIC TECHNOLOGIES CORP CENTRAL INDEX KEY: 0001273636 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 593553710 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 14193 NW 119TH TERRACE STREET 2: SUITE #10 CITY: ALACHUA STATE: FL ZIP: 32615 BUSINESS PHONE: 386-462-2204 MAIL ADDRESS: STREET 1: 14193 NW 119TH TERRACE STREET 2: SUITE #10 CITY: ALACHUA STATE: FL ZIP: 32615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldstein Michael H. CENTRAL INDEX KEY: 0001691259 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36370 FILM NUMBER: 162032363 MAIL ADDRESS: STREET 1: C/O AGTC STREET 2: 14193 NW 119TH TERRACE, SUITE #10 CITY: ALACHUA STATE: FL ZIP: 32615 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-01 0 0001273636 APPLIED GENETIC TECHNOLOGIES CORP AGTC 0001691259 Goldstein Michael H. C/O APPLIED GENETIC TECHNOLOGIES CORP. 14193 NW 119TH TERRACE, SUITE #10 ALACHUA FL 32615 0 1 0 0 Chief Medical Officer Stock Option (right to buy) 8.70 2016-12-01 4 A 0 180000 0.00 A 2026-12-01 Common Stock 180000 180000 D Option becomes exercisable for 25% of the underlying shares on the first anniversary of the grant date, and thereafter becomes exercisable for the remaining underlying shares in equal monthly installments over three years, resulting in the option being exercisable for 100% of the underlying shares on the fourth anniversary of the grant date. /s/ Hemmie Chang, attorney-in-fact for Michael H. Goldstein 2016-12-02