0001209191-17-014930.txt : 20170227
0001209191-17-014930.hdr.sgml : 20170227
20170227181525
ACCESSION NUMBER: 0001209191-17-014930
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170227
DATE AS OF CHANGE: 20170227
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AERIE PHARMACEUTICALS INC
CENTRAL INDEX KEY: 0001337553
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 203109565
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7020 KIT CREEK ROAD
STREET 2: SUITE 270
CITY: RESEARCH TRIANGLE PARK
STATE: NC
ZIP: 27709
BUSINESS PHONE: 919-313-9650
MAIL ADDRESS:
STREET 1: 7020 KIT CREEK ROAD
STREET 2: SUITE 270
CITY: RESEARCH TRIANGLE PARK
STATE: NC
ZIP: 27709
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kopczynski Casey C.
CENTRAL INDEX KEY: 0001590001
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36152
FILM NUMBER: 17643711
MAIL ADDRESS:
STREET 1: 135 U.S. HIGHWAY 206
STREET 2: SUITE 15
CITY: BEDMINSTER
STATE: NJ
ZIP: 07921
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
0
0
1
0001337553
AERIE PHARMACEUTICALS INC
AERI
0001590001
Kopczynski Casey C.
C/O AERIE PHARMACEUTICALS, INC.
2030 MAIN STREET, SUITE 1500
IRVINE
CA
92614
0
1
0
0
Chief Scientific Officer
Common Stock
2015-06-15
4
M
0
L
4596
0.005
A
182675
D
Common Stock
2016-02-25
4
F
0
L
692
16.34
D
181983
D
Stock Option (right to buy)
0.005
2015-06-15
4
M
0
L
4596
0.00
D
2015-08-12
Common Stock
4596
0
D
This option was fully vested and exercisable.
/s/ Richard J. Rubino, Attorney-in-Fact for Casey C. Kopczynski
2017-02-27