0001209191-15-056848.txt : 20150626 0001209191-15-056848.hdr.sgml : 20150626 20150626164257 ACCESSION NUMBER: 0001209191-15-056848 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150624 FILED AS OF DATE: 20150626 DATE AS OF CHANGE: 20150626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HISTOGENICS CORP CENTRAL INDEX KEY: 0001372299 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-457-7900 MAIL ADDRESS: STREET 1: 830 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baltzell Joshua J CENTRAL INDEX KEY: 0001418439 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36751 FILM NUMBER: 15955661 MAIL ADDRESS: STREET 1: C/O SPLIT ROCK PARTNERS STREET 2: 10400 VIKING DRIVE, SUITE 250 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-24 0 0001372299 HISTOGENICS CORP HSGX 0001418439 Baltzell Joshua J C/O HISTOGENICS CORPORATION 830 WINTER STREET. 3RD FLOOR WALTHAM MA 02451 1 0 0 0 Stock Option (Right to Buy) 6.86 2015-06-24 4 A 0 20000 0.00 A 2025-06-24 Common Stock 20000 20000 D This option vests in twelve (12) equal monthly installments commencing on the date of grant. /s/ Joshua J. Baltzell 2015-06-26