0001209191-21-052839.txt : 20210820
0001209191-21-052839.hdr.sgml : 20210820
20210820183621
ACCESSION NUMBER: 0001209191-21-052839
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: Broadfoot Jill Marie
CENTRAL INDEX KEY: 0001305178
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36591
FILM NUMBER: 211194894
MAIL ADDRESS:
STREET 1: 3545 JOHN HOPKINS COURT, SUITE 250
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
FORMER NAME:
FORMER CONFORMED NAME: Church Jill Marie
DATE OF NAME CHANGE: 20041005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OTONOMY, INC.
CENTRAL INDEX KEY: 0001493566
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 262590070
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4796 EXECUTIVE DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
BUSINESS PHONE: (619) 323-2200
MAIL ADDRESS:
STREET 1: 4796 EXECUTIVE DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92121
FORMER COMPANY:
FORMER CONFORMED NAME: Otonomy, Inc.
DATE OF NAME CHANGE: 20100607
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-08-18
0
0001493566
OTONOMY, INC.
OTIC
0001305178
Broadfoot Jill Marie
C/O OTONOMY, INC.
4796 EXECUTIVE DRIVE
SAN DIEGO
CA
92121
1
0
0
0
Stock Option (right to buy)
1.42
2021-08-18
4
A
0
35000
0.00
A
2031-08-18
Common Stock
35000
35000
D
1/3 of the shares subject to the option shall vest upon each anniversary of the grant date, provided that the Reporting Person remains a service provider through each applicable vesting date.
/s/ Paul E. Cayer, Attorney-in-fact
2021-08-20