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