0001209191-15-033895.txt : 20150414 0001209191-15-033895.hdr.sgml : 20150414 20150414102302 ACCESSION NUMBER: 0001209191-15-033895 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20150414 FILED AS OF DATE: 20150414 DATE AS OF CHANGE: 20150414 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XBiotech Inc. CENTRAL INDEX KEY: 0001626878 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8201 E. RIVERSIDE DRIVE STREET 2: BUILDING 4, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78744 BUSINESS PHONE: 512-386-2930 MAIL ADDRESS: STREET 1: 8201 E. RIVERSIDE DRIVE STREET 2: BUILDING 4, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78744 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIVASWAMY SUSHMA CENTRAL INDEX KEY: 0001638762 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37347 FILM NUMBER: 15768394 MAIL ADDRESS: STREET 1: 8201 E RIVERSIDE DRIVE STREET 2: BLDG 4, STE 100 CITY: AUSTIN STATE: TX ZIP: 78744 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-04-14 0 0001626878 XBiotech Inc. XBIT 0001638762 SHIVASWAMY SUSHMA 8201 E RIVERSIDE DRIVE, BLDG. 4, STE 100 AUSTIN TX 78744 0 1 0 0 VP of R&D Stock Option 2.50 2009-05-27 2019-05-26 Common Stock 4500 D Stock Option 7.50 2011-02-28 2021-02-27 Common Stock 40000 D Stock Option 15.00 2012-12-12 2022-12-11 Common Stock 5000 D Stock Option 15.00 2024-11-04 Common Stock 30000 D The option becomes exercisable for 15,000 shares on November 5, 2015 and becomes exercisable as to the remaining 15,000 shares on November 5, 2016. Exhibit 24 - Power of Attorney /s/ Seth Goettelman under Power of Attorney for Sushma Shivaswamy 2015-04-14 EX-24 2 attachment1.htm EX-24 DOCUMENT

                                POWER OF ATTORNEY

        Know all by these presents, that the undersigned hereby constitutes and
appoints Laura Holm, Seth Goettelman or John Simard with full power of
substitution, as the undersigned's true and lawful attorney-in-fact to:

        (1)     execute for and on behalf of the undersigned, in the
                undersigned's capacity as an officer and/or director of XBiotech
                Inc. or any successor thereto (the "Company"), Forms 3, 4, and 5
                in accordance with Section 16(a) of the Securities Exchange Act
                of 1934 and the rules thereunder (the "Exchange Act"), Form 144
                in accordance with Rule 144 under the Securities Act of 1933
                ("Rule 144") and any other forms or reports, including, but not
                limited to, a Form ID, that the undersigned may be required to
                file in connection with the undersigned's ownership, acquisition
                or disposition of securities of the Company;

        (2)     do and perform any and all acts for and on behalf of the
                undersigned which may be necessary or desirable to complete and
                execute any such Form 3, 4 or 5, Form 144 or other form or
                report, complete and execute any amendment or amendments thereto
                and timely file such form or report with the Securities and
                Exchange Commission and any stock exchange or similar authority;
                and

        (3)     take any other action of any type whatsoever in connection with
                the foregoing which, in the opinion of such attorney-in-fact,
                may be of benefit to, in the best interest of, or legally
                required by, the undersigned, it being understood that the
                documents executed by such attorney-in-fact on behalf of the
                undersigned pursuant to this Power of Attorney shall be in such
                form and shall contain such terms and conditions as such
                attorney-in-fact may approve in such attorney-in-fact's
                discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange Act or
Rule 144.

        This Power of Attorney revokes any previous Power of Attorney filed with
the Company for the purposes set forth herein and shall remain in full force and
effect until the undersigned is no longer required to file Forms 3, 4 and 5 with
respect to the undersigned's holdings of and transactions in securities issued
by the Company, unless expressly revoked before that time.

        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 1st day of April, 2015.

                                        /s/  Sushma Shivaswamy
                                        ---------------------------------------
                                        Sushma Shivaswamy