0001567619-19-001510.txt : 20190123
0001567619-19-001510.hdr.sgml : 20190123
20190123170535
ACCESSION NUMBER: 0001567619-19-001510
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190123
DATE AS OF CHANGE: 20190123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wise Blake
CENTRAL INDEX KEY: 0001654446
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36323
FILM NUMBER: 19538001
MAIL ADDRESS:
STREET 1: C/O ACHAOGEN, INC.
STREET 2: 7000 SHORELINE COURT, #371
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Achaogen, Inc.
CENTRAL INDEX KEY: 0001301501
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 680533693
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1 TOWER PLACE
STREET 2: SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: 650-800-3636
MAIL ADDRESS:
STREET 1: 1 TOWER PLACE
STREET 2: SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
FORMER COMPANY:
FORMER CONFORMED NAME: Achaogen Inc
DATE OF NAME CHANGE: 20040825
5
1
doc1.xml
FORM 5
X0306
5
2018-12-31
0
0
0
0001301501
Achaogen, Inc.
AKAO
0001654446
Wise Blake
C/O ACHAOGEN, INC.
1 TOWER PLACE, SUITE #300
SOUTH SAN FRANCISCO
CA
94080
0
1
0
0
Chief Executive Officer
Common Stock
2018-10-31
5
A
0
L
135000
0.00
A
227721
D
Common Stock
178416
I
See Footnote
Grant of Restricted Stock Units ("RSUs"). The reporting person is entitled to one (1) share of Common Stock for each one (1) RSU upon the vesting thereof.
Includes 192,925 RSUs.
The shares are held directly by the Blake A. Wise Living Trust.
/s/ Gary Loeb, Attorney-in-fact for Blake Wise
2019-01-23