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