0001571049-16-019927.txt : 20161115 0001571049-16-019927.hdr.sgml : 20161115 20161115171954 ACCESSION NUMBER: 0001571049-16-019927 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161111 FILED AS OF DATE: 20161115 DATE AS OF CHANGE: 20161115 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: Tenenbaum Fabian CENTRAL INDEX KEY: 0001641300 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36845 FILM NUMBER: 162000588 MAIL ADDRESS: STREET 1: 60 EAST 42ND STREET, SUITE 1160 CITY: NEW YORK STATE: NY ZIP: 10165 4 1 t1602784_f4.xml OWNERSHIP DOCUMENT X0306 4 2016-11-11 0 0001600132 Bellerophon Therapeutics, Inc. BLPH 0001641300 Tenenbaum Fabian 184 LIBERTY CORNER ROAD SUITE 302 WARREN NJ 07059 0 1 0 0 Chief Executive Officer Stock Option (right to buy) 0.98 2016-11-11 4 A 0 466141 0 A 2026-11-11 Common Stock 466141 466141 D This option was granted on November 11, 2016. This option vests in four equal installments over a four-year period from the date of grant, with the first installment vesting on the date that is one year following the date of the grant. /s/ Fabian Tenenbaum 2016-11-15