0000899243-21-004969.txt : 20210204
0000899243-21-004969.hdr.sgml : 20210204
20210204191359
ACCESSION NUMBER: 0000899243-21-004969
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210204
DATE AS OF CHANGE: 20210204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Machiels Alec
CENTRAL INDEX KEY: 0001496687
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38276
FILM NUMBER: 21592763
MAIL ADDRESS:
STREET 1: 505 PARK AVENUE
STREET 2: 21ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Apellis Pharmaceuticals, Inc.
CENTRAL INDEX KEY: 0001492422
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 271537290
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 FIFTH AVENUE
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 617-977-5700
MAIL ADDRESS:
STREET 1: 100 FIFTH AVENUE
CITY: WALTHAM
STATE: MA
ZIP: 02451
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2020-12-31
0
0
0
0001492422
Apellis Pharmaceuticals, Inc.
APLS
0001496687
Machiels Alec
C/O APELLIS PHARMACEUTICALS, INC.
100 FIFTH AVENUE, 3RD FLOOR
WALTHAM
MA
02451
1
0
0
0
Common Stock
2020-12-02
5
G
0
250000
0.00
D
419544
D
Common Stock
2020-12-02
5
G
0
250000
0.00
A
250000
I
See footnote
Common Stock
1950
I
See footnote
The shares are held by Bauhaus 1 LLC, which LLC is held by The Irrevocable Agreement of Trust of Alec Machiels (the "Trust"). The reporting person is the managing member of Bauhaus 1 LLC and the trustee of the Trust.
Owned by the spouse of the reporting person.
/s/ David Watson, attorney-in-fact for Cedric Francois
2021-02-04