0001104659-21-119486.txt : 20210924
0001104659-21-119486.hdr.sgml : 20210924
20210924204657
ACCESSION NUMBER: 0001104659-21-119486
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210923
FILED AS OF DATE: 20210924
DATE AS OF CHANGE: 20210924
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pisano Wayne
CENTRAL INDEX KEY: 0001743611
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32587
FILM NUMBER: 211278758
MAIL ADDRESS:
STREET 1: C/O PROVENTION BIO, INC.
STREET 2: P.O. BOX 666
CITY: OLDWICK
STATE: NJ
ZIP: 08858
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Altimmune, Inc.
CENTRAL INDEX KEY: 0001326190
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 202726770
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 910 CLOPPER ROAD
STREET 2: SUITE 201S
CITY: GAITHERSBURG
STATE: MD
ZIP: 20878
BUSINESS PHONE: 2406541450
MAIL ADDRESS:
STREET 1: 910 CLOPPER ROAD
STREET 2: SUITE 201S
CITY: GAITHERSBURG
STATE: MD
ZIP: 20878
FORMER COMPANY:
FORMER CONFORMED NAME: PHARMATHENE, INC
DATE OF NAME CHANGE: 20071016
FORMER COMPANY:
FORMER CONFORMED NAME: HEALTHCARE ACQUISITION CORP
DATE OF NAME CHANGE: 20050505
4
1
tm2128463-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-09-23
0
0001326190
Altimmune, Inc.
ALT
0001743611
Pisano Wayne
C/O ALTIMMUNE, INC., 910 CLOPPER ROAD,
SUITE 201S
GAITHERSBURG
MD
20878
1
0
0
0
Stock Options (option to buy)
15.44
2021-09-23
4
A
0
24100
0
A
2031-09-23
Common Stock, par value $0.0001
24100
24100
D
The shares underlying the option become vested and exercisable in substantially equal monthly installments over the 12 months following September 23, 2021, subject to the reporting person's continued service through the applicable vesting date.
/s/ William Brown, as Attorney-in-Fact
2021-09-24