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