0001179110-16-017908.txt : 20160121 0001179110-16-017908.hdr.sgml : 20160121 20160121163819 ACCESSION NUMBER: 0001179110-16-017908 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160119 FILED AS OF DATE: 20160121 DATE AS OF CHANGE: 20160121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bellerophon Therapeutics, Inc. CENTRAL INDEX KEY: 0001600132 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 473116175 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 BUSINESS PHONE: 908-574-4770 MAIL ADDRESS: STREET 1: 184 LIBERTY CORNER ROAD, SUITE 302 CITY: WARREN STATE: NJ ZIP: 07059 FORMER COMPANY: FORMER CONFORMED NAME: Bellerophon Therapeutics LLC DATE OF NAME CHANGE: 20140213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dekker Martin CENTRAL INDEX KEY: 0001643049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36845 FILM NUMBER: 161353856 MAIL ADDRESS: STREET 1: 53 FRONTAGE ROAD, SUITE 301 STREET 2: PERRYVILLE III CORPORATE PARK CITY: HAMPTON STATE: NJ ZIP: 08827 4 1 edgar.xml FORM 4 - X0306 4 2016-01-19 0 0001600132 Bellerophon Therapeutics, Inc. BLPH 0001643049 Dekker Martin C/O BELLEROPHON THERAPEUTICS, INC. 184 LIBERTY CORNER ROAD, SUITE 302 WARREN NJ 07059 0 1 0 0 VP of Device Engineering Common Stock 2016-01-19 4 A 0 36514 0 A 36514 D /s/ Martin Dekker 2016-01-21