0000899243-21-003885.txt : 20210201 0000899243-21-003885.hdr.sgml : 20210201 20210201174122 ACCESSION NUMBER: 0000899243-21-003885 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210201 DATE AS OF CHANGE: 20210201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gray Cameron CENTRAL INDEX KEY: 0001590583 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38327 FILM NUMBER: 21578025 MAIL ADDRESS: STREET 1: 21 ERIE STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cue Biopharma, Inc. CENTRAL INDEX KEY: 0001645460 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473324577 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21 ERIE STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 617-949-2680 MAIL ADDRESS: STREET 1: 21 ERIE STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 FORMER COMPANY: FORMER CONFORMED NAME: Imagen Biopharma, Inc. DATE OF NAME CHANGE: 20150617 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2020-12-31 0 0 0 0001645460 Cue Biopharma, Inc. CUE 0001590583 Gray Cameron C/O CUE BIOPHARMA, INC. 21 ERIE STREET CAMBRIDGE MA 02139 1 0 0 0 Common Stock 2020-12-02 5 G 0 596200 0.00 D 81300 D Common Stock 2020-12-02 5 G 0 162600 0.00 A 162600 I By Extended Family Nongrantor Pot Trust under the Cameron Gray 2020 Irrevocable Trust Common Stock 2020-12-02 5 G 0 162600 0.00 A 162600 I By Family Nongrantor Pot Trust under the Cameron Gray 2020 Irrevocable Trust Common Stock 2020-12-02 5 G 0 271000 0.00 A 271000 I By Julie Heider Nongrantor Pot Trust under the Julie Heider 2020 Irrevocable Trust /s/ Cameron Gray by Colin Sandercock, attorney-in-fact 2021-02-01