0001209191-15-057095.txt : 20150629 0001209191-15-057095.hdr.sgml : 20150629 20150629161006 ACCESSION NUMBER: 0001209191-15-057095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150626 FILED AS OF DATE: 20150629 DATE AS OF CHANGE: 20150629 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Eleven Biotherapeutics, Inc. CENTRAL INDEX KEY: 0001485003 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 252025616 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 215 FIRST STREET STREET 2: SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 617-871-9911 MAIL ADDRESS: STREET 1: 215 FIRST STREET STREET 2: SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Furfine Eric Steven CENTRAL INDEX KEY: 0001590220 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36296 FILM NUMBER: 15958363 MAIL ADDRESS: STREET 1: 215 FIRST STREET STREET 2: SUITE 400 CITY: CAMBRIDGE STATE: MA ZIP: 02142 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-26 0 0001485003 Eleven Biotherapeutics, Inc. EBIO 0001590220 Furfine Eric Steven C/O ELEVEN BIOTHERAPEUTICS, INC., 215 FIRST STREET, SUITE 400 CAMBRIDGE MA 02142 0 1 0 0 Chief Science Officer Common Stock 2015-06-26 4 A 0 39300 0.00 A 39300 D Represents restricted stock units which vest as to 33.33% of the original number of restricted stock units granted to Dr. Furfine on each of the six-month, twelve-month and eighteen-month anniversaries of the grant date. /s/ John J. McCabe as attorney-in-fact 2015-06-29