0000899243-21-001152.txt : 20210108
0000899243-21-001152.hdr.sgml : 20210108
20210108160345
ACCESSION NUMBER: 0000899243-21-001152
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210106
FILED AS OF DATE: 20210108
DATE AS OF CHANGE: 20210108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Potts Jeannette
CENTRAL INDEX KEY: 0001814693
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39333
FILM NUMBER: 21517492
MAIL ADDRESS:
STREET 1: C/O FORMA THERAPEUTICS HOLDINGS, INC.
STREET 2: 500 ARSENAL STREET, SUITE 100
CITY: WATERTOWN
STATE: MA
ZIP: 02472
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Forma Therapeutics Holdings, Inc.
CENTRAL INDEX KEY: 0001538927
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 371657129
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 ARSENAL STREET
STREET 2: SUITE 100
CITY: WATERTOWN
STATE: MA
ZIP: 02472
BUSINESS PHONE: 617-679-1970
MAIL ADDRESS:
STREET 1: 500 ARSENAL STREET
STREET 2: SUITE 100
CITY: WATERTOWN
STATE: MA
ZIP: 02472
FORMER COMPANY:
FORMER CONFORMED NAME: Forma Therapeutics Holdings, Inc.,
DATE OF NAME CHANGE: 20200331
FORMER COMPANY:
FORMER CONFORMED NAME: Forma Therapeutics Holdings LLC
DATE OF NAME CHANGE: 20120106
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-06
0
0001538927
Forma Therapeutics Holdings, Inc.
FMTX
0001814693
Potts Jeannette
C/O FORMA THERAPEUTICS HOLDINGS, INC.,
500 ARSENAL STREET, SUITE 100
WATERTOWN
MA
02472
0
1
0
0
See Remarks
Common Stock
2020-12-30
4
M
0
3400
5.05
A
3400
D
Stock Option (Right to Buy)
5.05
2021-01-06
4
M
0
3400
0.00
A
2029-11-20
Common Stock
3400
111746
D
25% of the shares subject to the stock option vested on September 9, 2020 and the remainder of the shares vest in equal monthly installments for a period of 36 months thereafter.
SVP, General Counsel & Corporate Secretary
/s/ Jeannette Potts
2021-01-08