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