0001567619-23-003425.txt : 20230221
0001567619-23-003425.hdr.sgml : 20230221
20230221172706
ACCESSION NUMBER: 0001567619-23-003425
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230216
FILED AS OF DATE: 20230221
DATE AS OF CHANGE: 20230221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Overdorf Michael
CENTRAL INDEX KEY: 0001818522
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39402
FILM NUMBER: 23649570
MAIL ADDRESS:
STREET 1: C/O ANNEXON, INC.
STREET 2: 180 KIMBALL WAY, SUITE 200
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Annexon, Inc.
CENTRAL INDEX KEY: 0001528115
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 275414423
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1400 SIERRA POINT PARKWAY
STREET 2: BLDG C, SUITE 200
CITY: BRISBANE
STATE: CA
ZIP: 94005
BUSINESS PHONE: (650)-822-5500
MAIL ADDRESS:
STREET 1: 1400 SIERRA POINT PARKWAY
STREET 2: BLDG C, SUITE 200
CITY: BRISBANE
STATE: CA
ZIP: 94005
4
1
doc1.xml
FORM 4
X0306
4
2023-02-16
0
0001528115
Annexon, Inc.
ANNX
0001818522
Overdorf Michael
C/O ANNEXON, INC.
1400 SIERRA PT PKWY, BLDG C, 2ND FLOOR
BRISBANE
CA
94005
0
1
0
0
EVP & Chief Business Officer
Common Stock
2023-02-16
4
A
0
18975
0.00
A
46780
D
Stock Option (Right to Buy)
5.94
2023-02-16
4
A
0
77050
0
A
2033-02-16
Common Stock
77050
77050
D
Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. 1/3rd of the RSUs vest annually on February 16 of each year, with the first 1/3rd vesting on February 16, 2024.
Includes 36,684 RSUs.
1/48th of the shares subject to the option vest on each monthly anniversary measured from February 16, 2023 (the "Vesting Commencement Date"), such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the Vesting Commencement Date.
/s/ Jennifer Lew, as Attorney-in-Fact for Michael Overdorf
2023-02-21