0000899243-21-025426.txt : 20210622
0000899243-21-025426.hdr.sgml : 20210622
20210622201547
ACCESSION NUMBER: 0000899243-21-025426
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210622
DATE AS OF CHANGE: 20210622
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: 211036927
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
2021-06-01
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
2021-06-01
4
J
0
52745
0.00
D
0
I
See Footnote
Common Stock
2021-06-01
4
J
0
87132
0.00
D
0
I
See Footnote
Common Stock
2021-06-01
4
J
0
26372
0.00
A
207778
D
Common Stock
2021-06-01
4
J
0
13894
0.00
A
221672
D
Stock Option (Right to Buy)
29.34
2021-06-19
4
A
0
3434
0.00
A
2031-06-19
Common Stock
3434
3434
D
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 10 ("Lennox Series 10") to its limited partners.
These shares are held directly by Lennox Series 10. The Reporting Person is the Manager of Lennox 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.
This option represents a right to purchase a total of 3,434 shares of the Issuer's common stock, which will vest in full on the earlier of the one-year anniversary of the grant date or immediately prior to the Issuer's next annual meeting of stockholders, subject to the Reporting Person's continued service to the Issuer.
/s/ Erin Ator Thomson, Attorney-in-Fact for Tyler Brous
2021-06-22