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