0001209191-23-052736.txt : 20231012 0001209191-23-052736.hdr.sgml : 20231012 20231012203345 ACCESSION NUMBER: 0001209191-23-052736 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231010 FILED AS OF DATE: 20231012 DATE AS OF CHANGE: 20231012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mahony Susan CENTRAL INDEX KEY: 0001463321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37635 FILM NUMBER: 231323681 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Axsome Therapeutics, Inc. CENTRAL INDEX KEY: 0001579428 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 454241907 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE WORLD TRADE CENTER, 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10007 BUSINESS PHONE: (212) 332-3241 MAIL ADDRESS: STREET 1: ONE WORLD TRADE CENTER, 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10007 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-10-10 0 0001579428 Axsome Therapeutics, Inc. AXSM 0001463321 Mahony Susan C/O AXSOME THERAPEUTICS, INC. ONE WORLD TRADE CENTER, 22ND FLOOR NEW YORK NY 10007 1 0 0 0 0 Stock Option (Right to Buy) 70.56 2023-10-10 4 A 0 1502 0.00 A 2024-10-10 2033-10-10 Common Stock 1502 1502 D Stock Option (Right to Buy) 70.56 2023-10-10 4 A 0 5873 0.00 A 2033-10-10 Common Stock 5873 5873 D The option vests in full on the one-year anniversary of the date of grant, October 10, 2024. The option will vest in equal annual installments over three years such that the option will be fully vested on October 10, 2026. /s/ Nick Pizzie, Attorney-in-Fact 2023-10-12