0001209191-20-011032.txt : 20200220
0001209191-20-011032.hdr.sgml : 20200220
20200220160515
ACCESSION NUMBER: 0001209191-20-011032
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191204
FILED AS OF DATE: 20200220
DATE AS OF CHANGE: 20200220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Squarer Ron
CENTRAL INDEX KEY: 0001454001
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38219
FILM NUMBER: 20635052
MAIL ADDRESS:
STREET 1: 3200 WALNUT STREET
CITY: BOULDER
STATE: CO
ZIP: 80301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Deciphera Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001654151
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 200299725
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 SMITH STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-209-6400
MAIL ADDRESS:
STREET 1: 200 SMITH STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
FORMER COMPANY:
FORMER CONFORMED NAME: Deciphera Pharmaceuticals, LLC
DATE OF NAME CHANGE: 20150928
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2019-12-04
2019-12-06
0
0001654151
Deciphera Pharmaceuticals, Inc.
DCPH
0001454001
Squarer Ron
C/O DECIPHERA PHARMACEUTICALS, INC.
200 SMITH STREET
WALTHAM
MA
02451
1
0
0
0
Stock Option (Right to Buy)
51.85
2019-12-04
4
A
0
21900
0.00
A
2029-12-03
Common Stock
21900
21900
D
This stock option was issued pursuant to the Issuer's 2017 Stock Option and Incentive Plan. The option will vest in equal monthly installments over a three-year period, subject to a continued service relationship through such dates.
This Form is being amended to correct the number of options granted to the Reporting Person on December 4, 2019.
/s/ Jeffrey Held, as Attorney-in-Fact
2020-02-20