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