0000899243-18-024910.txt : 20180920 0000899243-18-024910.hdr.sgml : 20180920 20180920162001 ACCESSION NUMBER: 0000899243-18-024910 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171002 FILED AS OF DATE: 20180920 DATE AS OF CHANGE: 20180920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosen Oliver CENTRAL INDEX KEY: 0001714870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38219 FILM NUMBER: 181079667 MAIL ADDRESS: STREET 1: C/O DECIPHERA PHARMACEUTICALS, LLC STREET 2: 500 TOTTEN POND ROAD CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Deciphera Pharmaceuticals, Inc. CENTRAL INDEX KEY: 0001654151 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 200299725 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 TOTTEN POND ROAD CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-209-6400 MAIL ADDRESS: STREET 1: 500 TOTTEN POND ROAD CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: Deciphera Pharmaceuticals, LLC DATE OF NAME CHANGE: 20150928 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-02 0 0001654151 Deciphera Pharmaceuticals, Inc. DCPH 0001714870 Rosen Oliver C/O DECIPHERA PHARMACEUTICALS, INC. 500 TOTTEN POND ROAD WALTHAM MA 02451 0 1 0 0 Chief Medical Officer Stock Option (Right to Buy) 1.89 2017-10-02 4 M 0 36746 D 2025-12-17 Common Stock 207614 0 D Stock Option (Right to Buy) 1.89 2017-10-02 4 M 0 207614 A 2025-12-17 Common Stock 207614 207614 D Stock Option (Right to Buy) 1.89 2017-10-02 4 M 0 8166 D 2025-12-17 Common Stock 46137 0 D Stock Option (Right to Buy) 1.89 2017-10-02 4 M 0 46137 A 2025-12-17 Common Stock 46137 46137 D Stock Option (Right to Buy) 3.95 2017-10-02 4 M 0 8500 D 2026-09-26 Common Stock 48025 0 D Stock Option (Right to Buy) 3.95 2017-10-02 4 M 0 48025 A 2026-09-26 Common Stock 48025 48025 D Stock Option (Right to Buy) 6.13 2017-10-02 4 M 0 8121 D 2027-06-03 Common Stock 45883 0 D Stock Option (Right to Buy) 6.13 2017-10-02 4 M 0 45883 A 2027-06-03 Common Stock 45883 45883 D Stock Option (Right to Buy) 29.71 2018-02-16 4 A 0 68500 0.00 A 2028-02-15 Common Stock 68500 68500 D Immediately prior to the closing of the Issuer's initial public offering, these options to purchase common stock of Deciphera Pharmaceuticals, LLC were exchanged for options to purchase common stock of the Issuer on a 1 for 5.65 basis pursuant to that certain Reorganization Agreement and Plan of Merger by and among the Issuer, Deciphera Pharmaceuticals, LLC and the other parties named therein, dated September 26, 2017 (the "Merger Agreement"). These transactions were exempt from Section 16(b) in reliance upon Rule 16b-3 and Rule 16b-6(b). This stock option award was issued pursuant to Deciphera Pharmaceuticals, LLC's 2015 Equity Incentive Plan. The option vests in 16 equal quarterly installments at the end of each quarter following the vesting commencement date of June 6, 2014, subject to continued service through such dates. Represents the total number of options to purchase common stock of the Issuer received upon the exchange of options to purchase common stock of Deciphera Pharmaceuticals, Inc. for options to purchase common stock of the Issuer pursuant to the Merger Agreement. This stock option award was issued pursuant to Deciphera Pharmaceuticals, LLC's 2015 Equity Incentive Plan. The option vests in 48 equal monthly installments at the end of each month following the vesting commencement date of September 30, 2015, subject to continued service through such dates. This stock option award was issued pursuant to Deciphera Pharmaceuticals, LLC's 2015 Equity Incentive Plan. The option vests in 48 equal monthly installments at the end of each month following the vesting commencement date of July 1, 2016, subject to continued service through such dates. This stock option award was issued pursuant to Deciphera Pharmaceuticals, LLC's 2015 Equity Incentive Plan. The option vests in 48 equal monthly installments at the end of each month following the vesting commencement date of May 26, 2017, subject to continued service through such dates. This stock option was issued pursuant to the Issuer's 2017 Stock Option and Incentive Plan. The option vests in 48 equal monthly installments following the vesting commencement date of January 1, 2018, subject to continued service through such dates. /s/ Jeffrey M. Held, Attorney-in-Fact 2018-09-20