0001104659-17-060662.txt : 20171003 0001104659-17-060662.hdr.sgml : 20171003 20171003172436 ACCESSION NUMBER: 0001104659-17-060662 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171002 FILED AS OF DATE: 20171003 DATE AS OF CHANGE: 20171003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldstein Michael H. CENTRAL INDEX KEY: 0001691259 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36554 FILM NUMBER: 171119237 MAIL ADDRESS: STREET 1: C/O AGTC STREET 2: 14193 NW 119TH TERRACE, SUITE #10 CITY: ALACHUA STATE: FL ZIP: 32615 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OCULAR THERAPEUTIX, INC CENTRAL INDEX KEY: 0001393434 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15 CROSBY DRIVE CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 781-895-3235 MAIL ADDRESS: STREET 1: 15 CROSBY DRIVE CITY: BEDFORD STATE: MA ZIP: 01730 FORMER COMPANY: FORMER CONFORMED NAME: I-THERAPEUTIX INC DATE OF NAME CHANGE: 20070315 4 1 a4.xml 4 X0306 4 2017-10-02 0 0001393434 OCULAR THERAPEUTIX, INC OCUL 0001691259 Goldstein Michael H. C/O OCULAR THERAPEUTIX, INC. 15 CROSBY DRIVE BEDFORD MA 01730 0 1 0 0 Chief Medical Officer Stock Option (Right to Buy) 6.30 2017-10-02 4 A 0 135000 0 A 2027-10-01 Common Stock 135000 135000 D Vests over four years, with 25% of the shares underlying the option vesting on the one-year anniversary of Goldstein's first date of employment and 2.0833% of the shares vesting monthly thereafter. /s/ Donald Notman, Attorney-in-Fact for Michael H. Goldstein 2017-10-03