0001591408-16-000011.txt : 20160119
0001591408-16-000011.hdr.sgml : 20160118
20160119203530
ACCESSION NUMBER: 0001591408-16-000011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160118
FILED AS OF DATE: 20160119
DATE AS OF CHANGE: 20160119
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: MITA SHIRO
CENTRAL INDEX KEY: 0001641205
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55133
FILM NUMBER: 161349516
MAIL ADDRESS:
STREET 1: 1301 SECOND AVENUE
STREET 2: STE 4200
CITY: SEATTLE
STATE: WA
ZIP: 98101
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-01-18
0
0001400482
ACUCELA INC.
M??????
0001641205
MITA SHIRO
1301 SECOND AVENUE
STE 4200
SEATTLE
WA
98101
1
0
0
0
Stock Option (right to buy)
9.06
2016-01-18
4
A
0
30000
0
A
2026-01-15
Common Stock
30000
30000
D
The exercise price of the stock options is the closing price of the Issuer's common stock on January 18, 2016 which is the first trading day of the Issuer's common stock on the Tokyo Stock Exchange following the January 15, 2016 grant date.
The options were deemed to be acquired by the Reporting Person upon the date the exercise price became fixed.
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 Shiro Mita
2016-01-19