0000899243-21-019683.txt : 20210517
0000899243-21-019683.hdr.sgml : 20210517
20210517210415
ACCESSION NUMBER: 0000899243-21-019683
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210513
FILED AS OF DATE: 20210517
DATE AS OF CHANGE: 20210517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brous Tyler
CENTRAL INDEX KEY: 0001827387
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39593
FILM NUMBER: 21933471
MAIL ADDRESS:
STREET 1: 1018 W 11TH ST., SUITE 100
CITY: AUSTIN
STATE: TX
ZIP: 78703
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Shattuck Labs, Inc.
CENTRAL INDEX KEY: 0001680367
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 812575858
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1018 W. 11TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78703
BUSINESS PHONE: 919-864-2700
MAIL ADDRESS:
STREET 1: 1018 W. 11TH STREET
CITY: AUSTIN
STATE: TX
ZIP: 78703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-13
0
0001680367
Shattuck Labs, Inc.
STTK
0001827387
Brous Tyler
C/O SHATTUCK LABS, INC.
500 W. 5TH STREET, SUITE 1200
AUSTIN
TX
78701
1
0
0
0
Common Stock
2021-05-13
4
J
0
629432
0.00
D
52745
I
See Footnote
Common Stock
2021-05-13
4
J
0
16440
0.00
D
0
I
See Footnote
Common Stock
2021-05-13
4
J
0
27235
0.00
D
0
I
See Footnote
Common Stock
2021-05-13
4
J
0
137641
0.00
A
168466
D
Common Stock
2021-05-13
4
J
0
6347
0.00
A
174813
D
Common Stock
2021-05-13
4
J
0
6593
0.00
A
181406
D
Common Stock
87132
I
See Footnote
Represents a pro rata distribution, and not a purchase or sale, without additional consideration by Lennox Dallas Partners, LP ("Lennox Partners") to its limited partners.
These shares are held directly by Lennox Partners. The Reporting Person is the vice president of RS Holdings, Inc., the general partner of Lennox Partners. The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except the extent of his pecuniary interest therein.
Represents a pro rata distribution, and not a purchase or sale, without additional consideration by Lennox Dallas Holdings, LLC - Series 3 ("Lennox Series 3") to its limited partners.
These shares are held directly by Lennox Series 3. The Reporting Person is the Manager of Lennox Series 3. The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except the extent of his pecuniary interest therein.
Represents a pro rata distribution, and not a purchase or sale, without additional consideration by Lennox Dallas Holdings, LLC - Series 9 ("Lennox Series 9") to its limited partners.
These shares are held directly by Lennox Series 9. The Reporting Person is the Manager of Lennox Series 9. The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except the extent of his pecuniary interest therein.
These shares are held directly by Lennox Dallas Holdings, LLC - Series 10. The Reporting Person is the Manager of Lennox Dallas Holdings, LLC - Series 10. The Reporting Person disclaims beneficial ownership of these securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except the extent of his pecuniary interest therein.
/s/ Erin Ator Thomson, Attorney-in-Fact for Tyler Brous
2021-05-17