0001600132-19-000134.txt : 20190930
0001600132-19-000134.hdr.sgml : 20190930
20190930165355
ACCESSION NUMBER: 0001600132-19-000134
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190926
FILED AS OF DATE: 20190930
DATE AS OF CHANGE: 20190930
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shah Parag Suresh
CENTRAL INDEX KEY: 0001673357
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36845
FILM NUMBER: 191126577
MAIL ADDRESS:
STREET 1: C/O BELLEROPHON THERAPEUTICS, INC.
STREET 2: 184 LIBERTY CORNER ROAD, SUITE 302
CITY: NEW JERSEY
STATE: NJ
ZIP: 07059
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bellerophon Therapeutics, Inc.
CENTRAL INDEX KEY: 0001600132
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 473116175
STATE OF INCORPORATION: DE
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
4
1
wf-form4_156987681297766.xml
FORM 4
X0306
4
2019-09-26
0
0001600132
Bellerophon Therapeutics, Inc.
BLPH
0001673357
Shah Parag Suresh
C/O BELLEROPHON THERAPEUTICS, INC.
184 LIBERTY CORNER ROAD, SUITE 302
WARREN
NJ
07059
0
1
0
0
VP Proj Mgmt & Distribution
Stock Option (right to buy)
0.5
2019-09-26
4
A
0
175500
0
A
2029-09-26
Common Stock
175500.0
445854
D
1. This option was granted on September 26, 2019. This option vests in quarterly installments over a four-years period from the date of grant.
/s/ Parag Shah
2019-09-30