0001209191-22-034343.txt : 20220603 0001209191-22-034343.hdr.sgml : 20220603 20220603190014 ACCESSION NUMBER: 0001209191-22-034343 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220601 FILED AS OF DATE: 20220603 DATE AS OF CHANGE: 20220603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETERSON TYCHO CENTRAL INDEX KEY: 0001927856 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38957 FILM NUMBER: 22996316 MAIL ADDRESS: STREET 1: C/O ADAPTIVE BIOTECHNOLOGIES CORPORATION STREET 2: 1165 EASTLAKE AVE E CITY: SEATTLE STATE: WA ZIP: 98109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adaptive Biotechnologies Corp CENTRAL INDEX KEY: 0001478320 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 270907024 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1165 EASTLAKE AVE E CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 206-659-0067 MAIL ADDRESS: STREET 1: 1165 EASTLAKE AVE E CITY: SEATTLE STATE: WA ZIP: 98109 FORMER COMPANY: FORMER CONFORMED NAME: Adaptive TCR Corp DATE OF NAME CHANGE: 20091209 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-06-01 0 0001478320 Adaptive Biotechnologies Corp ADPT 0001927856 PETERSON TYCHO C/O ADAPTIVE BIOTECHNOLOGIES CORP. 1165 EASTLAKE AVE E SEATTLE WA 98109 0 1 0 0 Chief Financial Officer Common Stock 2022-06-01 4 A 0 374688 0.00 A 374688 D Stock Option (Right to Buy) 7.30 2022-06-01 4 A 0 597157 0.00 A 2032-06-01 Common Stock 597157 597157 D The options vest with respect to 1/4 of such shares on June 1, 2023, with 1/48 of such shares vesting thereafter at the end of each full month of continuous service until fully vested. /s/ Tycho Peterson by Eric Billings, attorney-in-fact 2022-06-03