0001567619-22-001136.txt : 20220112 0001567619-22-001136.hdr.sgml : 20220112 20220112194555 ACCESSION NUMBER: 0001567619-22-001136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220106 FILED AS OF DATE: 20220112 DATE AS OF CHANGE: 20220112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAAB MICHAEL CENTRAL INDEX KEY: 0001321402 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36485 FILM NUMBER: 22527585 MAIL ADDRESS: STREET 1: 1119 ST PAUL STREET CITY: BALTIMORE STATE: MD ZIP: 21202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ARDELYX, INC. CENTRAL INDEX KEY: 0001437402 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 34175 ARDENWOOD BLVD. CITY: FREMONT STATE: CA ZIP: 94555 BUSINESS PHONE: 510-745-7047 MAIL ADDRESS: STREET 1: 34175 ARDENWOOD BLVD. CITY: FREMONT STATE: CA ZIP: 94555 FORMER COMPANY: FORMER CONFORMED NAME: NTERYX INC DATE OF NAME CHANGE: 20080611 4 1 doc1.xml FORM 4 X0306 4 2022-01-06 0 0001437402 ARDELYX, INC. ARDX 0001321402 RAAB MICHAEL C/O ARDELYX, INC. 34175 ARDENWOOD BLVD, SUITE 100 FREMONT CA 94555 1 1 0 0 President & CEO Common Stock 2022-01-06 4 A 0 150000 0 A 781803 D Common Stock 24364 I Family Trust Common Stock 1000 I Family Trust Stock Option (Right to Buy) 0.99 2022-01-06 4 A 0 700000 0.00 A 2032-01-06 Common Stock 700000 700000 D Restricted stock units ("RSUs"). The Reporting Person is entitled to receive one (1) shares of Common Stock for each one (1) RSU upon the vesting thereof. The shares are directly held by Michael G. Raab, Trustee of the Michael G. Raab Living Trust dated July 25, 2012. The shares are owned directly by trusts for the benefit of the Reporting Person's children. The option becomes exercisable as it vests and the shares subject to the option vest in 48 successive, equal monthly installments on each monthly anniversary of January 6, 2022, subject to the Reporting Person's continued employment or service relationship with the Issuer on each such vesting date. /s/ Elizabeth Grammer, Attorney-in-Fact for Michael Raab 2022-01-12