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