0001628280-16-021960.txt : 20161209 0001628280-16-021960.hdr.sgml : 20161209 20161209162731 ACCESSION NUMBER: 0001628280-16-021960 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161207 FILED AS OF DATE: 20161209 DATE AS OF CHANGE: 20161209 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: 162044367 MAIL ADDRESS: STREET 1: 53 FRONTAGE ROAD, SUITE 301 STREET 2: PERRYVILLE III CORPORATE PARK CITY: HAMPTON STATE: NJ ZIP: 08827 4 1 wf-form4_148131883731497.xml FORM 4 X0306 4 2016-12-07 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 Stock Option (right to buy) 0.49 2016-12-07 4 A 0 25000 0 A 2026-12-06 Common Stock 25000.0 25000 D The option grant was approved by Bellerophon Therapeutics, Inc.'s board of directors on December 7, 2016, subject to stockholder approval of an amendment to the stock option plan under which the option was granted. /s/ Martin Dekker 2016-12-09