0001144204-17-000258.txt : 20170103 0001144204-17-000258.hdr.sgml : 20170103 20170103173000 ACCESSION NUMBER: 0001144204-17-000258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170103 DATE AS OF CHANGE: 20170103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PHASERX, INC. CENTRAL INDEX KEY: 0001429386 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 204690620 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 410 WEST HARRISON STREET STREET 2: SUITE 300 CITY: SEATTLE STATE: WA ZIP: 98119 BUSINESS PHONE: 206-805-6300 MAIL ADDRESS: STREET 1: 410 WEST HARRISON STREET STREET 2: SUITE 300 CITY: SEATTLE STATE: WA ZIP: 98119 FORMER COMPANY: FORMER CONFORMED NAME: PHASERX INC DATE OF NAME CHANGE: 20080311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tsui Shing-Yin CENTRAL INDEX KEY: 0001672578 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37772 FILM NUMBER: 17502895 MAIL ADDRESS: STREET 1: 410 WEST HARRISON STREET STREET 2: SUITE 300 CITY: SEATTLE STATE: WA ZIP: 98119 4 1 v456126_4.xml OWNERSHIP DOCUMENT X0306 4 2016-12-31 0 0001429386 PHASERX, INC. PZRX 0001672578 Tsui Shing-Yin 410 WEST HARRISON STREET SUITE 300 SEATTLE WA 98119 0 1 0 0 Senior VP, Finance, Secretary Employee Stock Option (right to buy) 1.45 2016-12-31 4 A 0 20000 0 A 2026-12-31 Common Stock 20000 20000 D On December 31, 2016, the reporting person was granted an option to purchase shares of common stock. The option vests in 1/48th equal installments on each monthly anniversary of December 31, 2016, and subject to the reporting person's continued service to the Issuer. /s/ Shing-Yin Tsui 2017-01-03