0001209191-16-098228.txt : 20160212 0001209191-16-098228.hdr.sgml : 20160212 20160212181239 ACCESSION NUMBER: 0001209191-16-098228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160210 FILED AS OF DATE: 20160212 DATE AS OF CHANGE: 20160212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AveXis, Inc. CENTRAL INDEX KEY: 0001652923 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 901038273 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2275 HALF DAY ROAD STREET 2: SUITE 160 CITY: BANNOCKBURN STATE: IL ZIP: 60015 BUSINESS PHONE: 972-725-7797 MAIL ADDRESS: STREET 1: 2275 HALF DAY ROAD STREET 2: SUITE 160 CITY: BANNOCKBURN STATE: IL ZIP: 60015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Koh Bong Y CENTRAL INDEX KEY: 0001615979 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37693 FILM NUMBER: 161421641 MAIL ADDRESS: STREET 1: 3340 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-10 0 0001652923 AveXis, Inc. AVXS 0001615979 Koh Bong Y C/O AVEXIS, INC. 2275 HALF DAY ROAD, SUITE 160 BANNOCKBURN IL 60015 1 0 0 0 Stock Option (Right to Buy) 20.00 2016-02-10 4 A 0 18111 0.00 A 2026-02-10 Common Stock 18111 18111 D Stock Option (Right to Buy) 20.00 2016-02-10 4 A 0 8385 0.00 A 2026-02-10 Common Stock 8385 8385 D The option shall vest and become exercisable with respect to one-third of the shares on February 10, 2017; the remaining shares shall vest and become exercisable in twenty-four equal monthly installments thereafter, subject to the Reporting Person's Continuous Service, as that term is defined in the Issuer's 2016 Equity Incentive Plan (the "Plan") through each such date. The Reporting Person is a member of VR Management, LLC ("Management Company"). Under an agreement between the Reporting Person and the Management Company, the Reporting Person is deemed to hold the reported shares for the sole benefit of the Management Company and must exercise the reported shares solely upon the direction of the Management Company, which is entitled to the shares. The Management Company may be deemed the indirect beneficial owner of the reported shares, and the Reporting Person may be deemed the indirect beneficial owner of the reported shares through his interest in the Management Company. The Reporting Person disclaims beneficial ownership of the reported shares except to the extent of his pecuniary interest therein. The option shall vest and become exercisable (i) in twelve equal monthly installments beginning on March 10, 2016, or (ii) on the date of the Issuer's next annual stockholder meeting, whichever comes first, in each case subject to the Reporting Person's Continuous Service (as that term is defined in the Plan) through each such date. /s/ Madison Jones, Attorney-in-Fact 2016-02-12