0001697616-18-000005.txt : 20181120 0001697616-18-000005.hdr.sgml : 20181120 20181120165150 ACCESSION NUMBER: 0001697616-18-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181119 FILED AS OF DATE: 20181120 DATE AS OF CHANGE: 20181120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lucera Erick CENTRAL INDEX KEY: 0001697616 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38038 FILM NUMBER: 181196043 MAIL ADDRESS: STREET 1: 138 THISTLE ROAD CITY: NORTH ANDOVER STATE: MA ZIP: 08145 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Valeritas Holdings Inc. CENTRAL INDEX KEY: 0001619250 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 465648907 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 750 ROUTE 202 SOUTH STREET 2: SUITE 600 CITY: BRIDGEWATER STATE: NJ ZIP: 08807 BUSINESS PHONE: 908-927-9920 MAIL ADDRESS: STREET 1: 750 ROUTE 202 SOUTH STREET 2: SUITE 600 CITY: BRIDGEWATER STATE: NJ ZIP: 08807 FORMER COMPANY: FORMER CONFORMED NAME: Cleaner Yoga Mat, Inc. DATE OF NAME CHANGE: 20140911 4 1 wf-form4_154275069279424.xml FORM 4 X0306 4 2018-11-19 0 0001619250 Valeritas Holdings Inc. VLRX 0001697616 Lucera Erick 750 ROUTE 202 SOUTH, SUITE 600 BRIDGEWATER NJ 08807 0 1 0 0 See Remarks Employee Stock Option (Right to Buy) 0.41 2018-11-19 4 A 0 363000 0 A 2028-11-19 Common Stock 363000.0 363000 D 50% of the option shall vest on November 19, 2019, the one-year anniversary of the date of grant. The remaining shares underlying the option vest in substantially equal quarterly installments for 4 quarters after such one-year anniversary, such that the option will fully vest on November 19, 2020. Chief Financial Officer /s/ Erick Lucera 2018-11-20