0000899243-16-013240.txt : 20160212 0000899243-16-013240.hdr.sgml : 20160212 20160212171445 ACCESSION NUMBER: 0000899243-16-013240 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160210 FILED AS OF DATE: 20160212 DATE AS OF CHANGE: 20160212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHIASMA, INC CENTRAL INDEX KEY: 0001339469 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 831 BEACON STREET STREET 2: SUITE 313 CITY: NEWTON CENTRE STATE: MA ZIP: 02459 BUSINESS PHONE: 914-234-2268 MAIL ADDRESS: STREET 1: 831 BEACON STREET STREET 2: SUITE 313 CITY: NEWTON CENTRE STATE: MA ZIP: 02459 FORMER COMPANY: FORMER CONFORMED NAME: CHIASMA INC DATE OF NAME CHANGE: 20050922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mamluk Roni CENTRAL INDEX KEY: 0001647053 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37500 FILM NUMBER: 161420708 MAIL ADDRESS: STREET 1: CHIASMA, INC. STREET 2: 60WELLS AVENUE CITY: NEWTON STATE: MA ZIP: 02459 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-10 0 0001339469 CHIASMA, INC CHMA 0001647053 Mamluk Roni C/O CHIASMA, INC. 60 WELLS AVENUE, SUITE 102 NEWTON MA 02459 0 1 0 0 Chief Development Officer Stock Option (right to buy) 9.93 2016-02-10 4 A 0 40000 0.00 A 2026-02-09 Common Stock 40000 40000 D This option vests over a four-year period at a rate of twenty-five percent (25%) on February 10, 2017 and twelve (12) equal quarterly installments thereafter, subject to the recipient's continued service to the Issuer through each such date. /s/ Mark J. Fitzpatrick, attorney-in-fact 2016-02-12