0001504973-16-000008.txt : 20160125
0001504973-16-000008.hdr.sgml : 20160125
20160125183920
ACCESSION NUMBER: 0001504973-16-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160121
FILED AS OF DATE: 20160125
DATE AS OF CHANGE: 20160125
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ACUCELA INC.
CENTRAL INDEX KEY: 0001400482
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 020592619
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1301 SECOND AVE.
STREET 2: SUITE 4200
CITY: SEATTLE
STATE: WA
ZIP: 98101
BUSINESS PHONE: 206-805-8300
MAIL ADDRESS:
STREET 1: 1301 SECOND AVE.
STREET 2: SUITE 4200
CITY: SEATTLE
STATE: WA
ZIP: 98101
FORMER COMPANY:
FORMER CONFORMED NAME: Acucela Inc
DATE OF NAME CHANGE: 20070523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAKEUCHI ROBERT
CENTRAL INDEX KEY: 0001504973
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55133
FILM NUMBER: 161359649
MAIL ADDRESS:
STREET 1: SBI ASSET MANAGEMENT, IZUMI GARDEN TOWER
STREET 2: 1-6-1 ROPPONGI, MINATO-KU
CITY: TOKYO
STATE: M0
ZIP: 106-6017
4
1
wf-form4_145376513012228.xml
FORM 4
X0306
4
2016-01-21
0
0001400482
ACUCELA INC.
M??????
0001504973
TAKEUCHI ROBERT
C/O ACUCELA INC.
1301 SECOND AVE., SUITE 4200
SEATTLE
WA
98101
1
0
0
0
Stock Option (right to buy)
9.22
2016-01-21
4
A
0
30000
0
A
2026-01-21
Common Stock
30000.0
30000
D
The options vest on a monthly pro rata basis over a four (4) year period that commenced on May 1, 2015 and will continue until May 1, 2019, at which time all of the options will be fully vested.
The issuer's common stock trades on the Tokyo Stock Exchange under the symbol referenced in the issuer's registration statement on Form S-1 (File No. 333-192900).
/s/ John Gebhart as attorney-in-fact for Robert Takeuchi
2016-01-25