0001209191-21-066404.txt : 20211123 0001209191-21-066404.hdr.sgml : 20211123 20211123161334 ACCESSION NUMBER: 0001209191-21-066404 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211119 FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIVASWAMY SUSHMA CENTRAL INDEX KEY: 0001638762 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37347 FILM NUMBER: 211438666 MAIL ADDRESS: STREET 1: 8201 E RIVERSIDE DRIVE STREET 2: BLDG 4, STE 100 CITY: AUSTIN STATE: TX ZIP: 78744 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-19 0 0001626878 XBiotech Inc. XBIT 0001638762 SHIVASWAMY SUSHMA 3443 SHIRAZ LOOP ROUND ROCK TX 78665 0 1 0 0 Chief Scientific Officer Stock Option 12.67 2021-11-19 4 A 0 100000 0.00 A 2022-11-19 2031-11-19 Common Stock 100000 100000 D On November 19, 2021 (the Grant Date) the reporting person was granted stock options (the Options) under the Company's 2015 Equity Incentive Plan to purchase shares of the Company's Common Stock (the Shares) at an exercise price equal to the closing sales price of the Shares on the Grant Date as quoted by the Nasdaq Stock Market. The Options vest in two equal annual installments commencing as of the first anniversary of the Grant Date with an expiry of ten years from the Grant Date. /s/ Queena Han under Power of Attorney for Sushma Shivaswamy 2021-11-23