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