0001140361-15-016254.txt : 20150423
0001140361-15-016254.hdr.sgml : 20150423
20150423165633
ACCESSION NUMBER: 0001140361-15-016254
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150421
FILED AS OF DATE: 20150423
DATE AS OF CHANGE: 20150423
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avalanche Biotechnologies, Inc.
CENTRAL INDEX KEY: 0001501756
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 205258327
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1035 O?BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-272-6269
MAIL ADDRESS:
STREET 1: 1035 O?BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blumenkranz Mark S.
CENTRAL INDEX KEY: 0001614869
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36579
FILM NUMBER: 15789086
MAIL ADDRESS:
STREET 1: C/O AVALANCHE BIOTECHNOLOGIES, INC.
STREET 2: 1035 O'BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc1.xml
FORM 4
X0306
4
2015-04-21
0
0001501756
Avalanche Biotechnologies, Inc.
AAVL
0001614869
Blumenkranz Mark S.
C/O AVALANCHE BIOTECHNOLOGIES, INC.
1035 O'BRIEN DRIVE, SUITE A
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2015-04-21
4
A
0
2000
0.00
A
597989
D
Common Stock
11531
I
See Footnote
Common Stock
11531
I
See Footnote
Common Stock
11531
I
See Footnote
Stock Option (Right to Buy)
39.35
2015-04-21
4
A
0
7000
0.00
A
2016-06-26
2025-04-20
Common Stock
7000
7000
D
Restricted Stock Units ("RSUs"). The Reporting Person is entitled to receive one (1) share of Common Stock of the Issuer for each one (1) RSU upon the vesting thereof. Such RSUs vest with respect to 100% of the shares subject thereto on June 26, 2016.
The shares are held directly by the Carla Helene Blumenkranz Irrevocable Trust.
The shares are held directly by the Erik Davis Blumenkranz Irrevocable Trust.
The shares are held directly by the Scott Aubrey Blumenkranz Irrevocable Trust.
/s/ Michael Swartzburg, Attorney-in-Fact for Mark Blumenkranz
2015-04-23