0001104659-23-004001.txt : 20230117 0001104659-23-004001.hdr.sgml : 20230117 20230117062658 ACCESSION NUMBER: 0001104659-23-004001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230115 FILED AS OF DATE: 20230117 DATE AS OF CHANGE: 20230117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAPP MICHAEL CENTRAL INDEX KEY: 0001405685 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39580 FILM NUMBER: 23530154 MAIL ADDRESS: STREET 1: 712 FIFTH AVENUE STREET 2: 49TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Immunome Inc. CENTRAL INDEX KEY: 0001472012 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 770694340 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 665 STOCKTON DRIVE STREET 2: SUITE 300 CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 610-321-3700 MAIL ADDRESS: STREET 1: 665 STOCKTON DRIVE STREET 2: SUITE 300 CITY: EXTON STATE: PA ZIP: 19341 4 1 tm233517-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2023-01-15 0 0001472012 Immunome Inc. IMNM 0001405685 RAPP MICHAEL C/O IMMUNOME, INC. 665 STOCKTON DRIVE, SUITE 300 EXTON PA 19341 1 0 0 0 Common Stock 2023-01-15 4 A 0 17500 4.00 A 817366 D Common Stock 208742 I See Footnote The shares of Common Stock were issued to the Reporting Person pursuant to the Issuer's 2020 Equity Compensation Plan in lieu of the non-employee director board and committee cash retainers of $70,000 in the aggregate owed to the Reporting Person for service on the board of directors in 2022. The shares are held by Broadband Capital Investments LLC ("Broadband"). The reporting person is managing member of Broadband and has voting and investment power with respect to shares held by Broadband. /s/ Purnanand D. Sarma, Attorney-in-Fact 2023-01-17