0001280776-18-000004.txt : 20180104
0001280776-18-000004.hdr.sgml : 20180104
20180104210414
ACCESSION NUMBER: 0001280776-18-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180103
FILED AS OF DATE: 20180104
DATE AS OF CHANGE: 20180104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cox Russell J.
CENTRAL INDEX KEY: 0001512984
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36201
FILM NUMBER: 18511898
MAIL ADDRESS:
STREET 1: C/O JAZZ PHARMACEUTICALS, PLC
STREET 2: 5TH FL, WATERLOO EXCHANGE, WATERLOO RD
CITY: DUBLIN L2 4
STATE: L2
ZIP: 0
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VITAL THERAPIES INC
CENTRAL INDEX KEY: 0001280776
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 15010 AVENUE OF SCIENCE
STREET 2: STE. 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
BUSINESS PHONE: 858-673-6840
MAIL ADDRESS:
STREET 1: 15010 AVENUE OF SCIENCE
STREET 2: STE. 200
CITY: SAN DIEGO
STATE: CA
ZIP: 92128
4
1
wf-form4_151511784041634.xml
FORM 4
X0306
4
2018-01-03
0
0001280776
VITAL THERAPIES INC
VTL
0001512984
Cox Russell J.
C/O VITAL THERAPIES, INC.
15010 AVENUE OF SCIENT, SUITE 200
SAN DIEGO
CA
92128
1
1
0
0
Chief Executive Officer
Non-Qualifed Stock Option (right to buy)
6.3
2018-01-03
4
A
0
1588832
0
A
2028-01-02
Common Stock
1588832.0
1588832
D
Twenty five (25%) of the shares of common stock subject to the option shall vest one year from January 3, 2018, and thereafter, one forty-eighth (1/48th) of the shares of common stock subject to the option shall vest monthly, such that all of the shares of common stock subject to the option are vested by January 3, 2022, subject to the reporting person's continuing to be a Service Provider (as defined in the Amended & Restated 2017 Inducement Equity Incentive Plan (the "Plan)) through each vesting date; provided, that, the unvested portion of the option, if any, that would vest during the 12-month period following his termination date had he remained employed by the Issuer through such date shall vest in the event of a termination without cause following a Change in Control (as defined in the Plan).
/s/ Michael V. Swanson, as Attorney-in-Fact
2018-01-04