0001214659-19-004035.txt : 20190603
0001214659-19-004035.hdr.sgml : 20190603
20190603191514
ACCESSION NUMBER: 0001214659-19-004035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190530
FILED AS OF DATE: 20190603
DATE AS OF CHANGE: 20190603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MacDonald Robert J
CENTRAL INDEX KEY: 0001778547
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37897
FILM NUMBER: 19874910
MAIL ADDRESS:
STREET 1: C/O OBALON THERAPEUTICS INC.
STREET 2: 5421 AVENIDA ENCINAS, SUITE F
CITY: CARLSBAD
STATE: CA
ZIP: 92008
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OBALON THERAPEUTICS INC
CENTRAL INDEX KEY: 0001427570
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5421 AVENIDA ENCINAS
STREET 2: SUITE F
CITY: San Diego
STATE: CA
ZIP: 92008
BUSINESS PHONE: 858-480-2400
MAIL ADDRESS:
STREET 1: 5421 AVENIDA ENCINAS
STREET 2: SUITE F
CITY: San Diego
STATE: CA
ZIP: 92008
4
1
marketforms-45171.xml
PRIMARY DOCUMENT
X0306
4
2019-05-30
0001427570
OBALON THERAPEUTICS INC
OBLN
0001778547
MacDonald Robert J
C/O OBALON THERAPEUTICS, INC.
5421 AVENDA ENCINAS, SUITE F
CARLSBAD
CA
92008
false
true
false
false
Chief Retail Officer
Stock Option (Right to Buy)
1.58
2019-05-30
4
A
false
200000
0
A
2029-05-30
Common Stock
200000
200000
D
The Option shall vest and become exercisable as to one-fourth of the shares underlying the Stock Option on the first anniversary of May 30, 2019 and as to 1/48th of the shares underlying the Stock Option on each monthly anniversary of such commencement date thereafter, subject to Mr. MacDonald's continued employment with the Issuer through the applicable vesting dates.
/s/ Nooshin Hussainy as attorney-in-fact for Robert J. MacDonald
2019-06-03