0001962918-23-000037.txt : 20231006
0001962918-23-000037.hdr.sgml : 20231006
20231006175609
ACCESSION NUMBER: 0001962918-23-000037
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231004
FILED AS OF DATE: 20231006
DATE AS OF CHANGE: 20231006
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Machado Patrick
CENTRAL INDEX KEY: 0001311210
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41696
FILM NUMBER: 231315104
MAIL ADDRESS:
STREET 1: 201 SPEAR STREET, 3RD FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER NAME:
FORMER CONFORMED NAME: Machado Clarence Patrick
DATE OF NAME CHANGE: 20041210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACELYRIN, Inc.
CENTRAL INDEX KEY: 0001962918
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 852406735
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
BUSINESS PHONE: 805-871-4300
MAIL ADDRESS:
STREET 1: 4149 LIBERTY CANYON RD.
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
4
1
wk-form4_1696629358.xml
FORM 4
X0508
4
2023-10-04
0
0001962918
ACELYRIN, Inc.
SLRN
0001311210
Machado Patrick
C/O ACELYRIN, INC.
4149 LIBERTY CANYON RD.
AGOURA HILLS
CA
91301
1
0
0
0
0
Common Stock
2023-10-04
4
J
0
14675
0
A
14675
I
See footnote
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, from Woodland Hills Partner LLC (the "LLC") to the Reporting Person, a limited partner of the LLC, without additional consideration. This distribution arises from the purchase of preferred stock by the Reporting Person as a limited partner in the LLC on the same pricing terms as the other participating investors in each round of financing.
Shares held directly by Patrick Machado Revocable Trust, Patrick Machado, TEE, for which the Reporting Person serves as trustee.
/s/ Mina Kim, Attorney-in-fact
2023-10-06