0000886163-23-000080.txt : 20231101 0000886163-23-000080.hdr.sgml : 20231101 20231101175125 ACCESSION NUMBER: 0000886163-23-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231101 FILED AS OF DATE: 20231101 DATE AS OF CHANGE: 20231101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bertozzi Carolyn R CENTRAL INDEX KEY: 0001698766 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40720 FILM NUMBER: 231369407 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OmniAb, Inc. CENTRAL INDEX KEY: 0001846253 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5980 HORTON STREET STREET 2: SUITE 600 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-250-7800 MAIL ADDRESS: STREET 1: 5980 HORTON STREET STREET 2: SUITE 600 CITY: EMERYVILLE STATE: CA ZIP: 94608 FORMER COMPANY: FORMER CONFORMED NAME: Avista Public Acquisition Corp. II DATE OF NAME CHANGE: 20210212 4 1 edgardoc.xml PRIMARY DOCUMENT X0508 4 2023-11-01 0 0001846253 OmniAb, Inc. OABI 0001698766 Bertozzi Carolyn R 5980 HORTON STREET, STE 600 EMERYVILLE CA 94608 1 0 0 0 0 Common Stock 2023-11-01 4 M 0 17770 A 17770 D Restricted Stock Units 2023-11-01 4 M 0 17770 D Common Stock 17770 55538 D Represents Restricted Stock Units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. The RSUs shall vest in three substantially equal annual installments beginning on November 01, 2023, subject to the Reporting Person's continued service to the Issuer through each such vesting date. By: /s/ Charles S. Berkman For: Carolyn R. Bertozzi 2023-11-01