0001104659-21-108267.txt : 20210820 0001104659-21-108267.hdr.sgml : 20210820 20210820182522 ACCESSION NUMBER: 0001104659-21-108267 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210818 FILED AS OF DATE: 20210820 DATE AS OF CHANGE: 20210820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARON RICHARD A CENTRAL INDEX KEY: 0001287754 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39580 FILM NUMBER: 211194878 MAIL ADDRESS: STREET 1: 590 LANCASTER AVE STREET 2: C/O ANIMAS CORP CITY: FRAZER STATE: PA ZIP: 19355 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Immunome Inc. CENTRAL INDEX KEY: 0001472012 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 770694340 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 665 STOCKTON DRIVE STREET 2: SUITE 300 CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 610-321-3700 MAIL ADDRESS: STREET 1: 665 STOCKTON DRIVE STREET 2: SUITE 300 CITY: EXTON STATE: PA ZIP: 19341 4 1 tm2125608-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-08-18 0 0001472012 Immunome Inc. IMNM 0001287754 BARON RICHARD A C/O IMMUNOME, INC. 665 STOCKTON DRIVE, SUITE 300 EXTON PA 19341 1 0 0 0 Common Stock 2021-08-18 4 M 0 2343 11.38 A 2343 D Stock Option (Right to Buy) 11.38 2021-08-18 4 M 0 2343 0 D 2030-11-03 Common Stock 2343 5157 D The shares subject to the option vest/vested one-twelfth (1/12th) on February 3, 2021, and one-twelfth (1/12th) every three months thereafter. /s/ Purnanand D. Sarma, Attorney-in-Fact 2021-08-20